Active NPI
Colleen M McKenna
- Mental Health Counselor
- Amesbury, MA
National Provider Identifier
1366550618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1973
- Practice address
- 5 Market SQ
B5
Amesbury, MA 01913-2497 - Phone
- (978) 388-7032
- Fax
- (978) 388-6080
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1973 | MA | Primary |
Addresses
Primary practice location
5 Market SQ
B5
Amesbury, MA 01913-2497
Mailing address
5 Market SQ
B5
Amesbury, MA 01913-2497
Phone (978) 388-7032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1973 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366550618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MARKET SQ",
"address_2": "B5",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019132497",
"telephone_number": "978-388-7032",
"fax_number": "978-388-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MARKET SQ",
"address_2": "B5",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019132497",
"telephone_number": "978-388-7032",
"fax_number": "978-388-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "COLLEEN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amesbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.