Individual provider Active NPI

Rebecca Kertenis, M.ED., LMFT

  • Marriage & Family Therapist
  • Wilbraham, MA
National Provider Identifier
1275610016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1205 Issued in MA
Practice address
35 Post Office Park
Suite 3504
Wilbraham, MA 01095-1172
Phone
(413) 596-6922
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1205 MA Primary

Addresses

Primary practice location

35 Post Office Park
Suite 3504
Wilbraham, MA 01095-1172

Mailing address

35 Post Office Park
Suite 3504
Wilbraham, MA 01095-1172
Phone (413) 596-6922

Other identifiers 2

IdentifierTypeStateIssuer
1101642OtherMACIGNA BEHAVIORAL HEALTH
37489OtherMAHEALTH NEW ENGLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 23, 2024 through Sep 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1205MAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Counseling Associates, Ins. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275610016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 POST OFFICE PARK",
            "address_2": "SUITE 3504",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951172",
            "telephone_number": "413-596-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 POST OFFICE PARK",
            "address_2": "SUITE 3504",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951172",
            "telephone_number": "413-596-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTENIS",
        "first_name": "REBECCA",
        "credential": "M.ED., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1101642",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "37489",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

Verify at the official NPI Registry.