Kelly Ann Hobson, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11090 Issued in MA

Practice address

148 Worcester St
West Boylston, MA 01583-1751

Phone

(508) 612-4139

NPI assigned

May 13, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Pediatric Behavioral Health LLCGroup PAC ID 0042677023, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Behavioral Health, LLC

  • Marriage & Family Therapist
  • West Boylston, MA
  • NPI 1487779104

  Mental Health

  Medicare reassignment Care Compare group NPD
• Bridgewell Counseling

  • Mental Health Counselor
  • Lowell, MA
  • NPI 1922316058
  NPD (past)
• Bridgewell, Inc

  • Community/Behavioral Health Agency
  • Lowell, MA
  • NPI 1033262860
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1225356397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 WORCESTER ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831751",
            "telephone_number": "508-612-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WORCESTER ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831751",
            "telephone_number": "508-612-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBSON",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE BOARD OF REGISTRATION OF ALLIED MENTAL HEALTH AND HUMAN SERVICES PROFESSIONS",
            "identifier": "11090",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamlyn Haynes, M.D.
• Donna Heidemann
• Iliana Gizel Hernandez, RBT
• Lori Ann Heyler, O.D.
• Edwin Hilario
• Timothy P Hogan, MD
• Deborah Holan, RBT
• Katherine Cox Hookway, LICSW
• Hopebridge Healthcare Group, LLC
• Hopebridge Healthcare Group, LLC

• Mental Health Counselor in West Boylston, MA
• Providers in West Boylston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.