Kelly Jean Bemis
Individual provider Active NPI Mental Health Counselor · Bedford, MA
NPI 1255848537 · NPPES record last updated Jan 8, 2018
Key facts
- NPI
- 1255848537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 205 Burlington Rd
Bedford, MA 01730-1406 - Phone
- (781) 761-5081
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MA | Yes |
Addresses
Primary practice location
205 Burlington Rd
Bedford, MA 01730-1406
Mailing address
205 Burlington Rd
Bedford, MA 01730-1406
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000023532 | Other | MA | BMC |
| 042611055 | Other | MA | TAX ID |
| 1004745 | Other | MA | FALLON |
| M18633 | Other | MA | BCBS |
| 1004745 | Other | MA | NHP |
| 1303287 | Other | MA | MBHP |
| 99618201 | Other | MA | NETWORK HEALTH |
Other providers in Bedford, MA
- Sarah Bekele
- Josephine A Bell
- Zoe Bell
- Philip Bellino II
- Scott Norman Belliveau
- William Albert Bennett
- Corona Claire Benson
- Thomas A Berak
- Joshua Berger
- Heidi A Berke
All providers in Bedford, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.