Individual provider Active NPI

Kirsten Herstad, MA

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1407349996
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1419 Hancock St Ste 200
Quincy, MA 02169-5250
Phone
(617) 770-9690
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1419 Hancock St Ste 200
Quincy, MA 02169-5250

Mailing address

1419 Hancock St Ste 200
Quincy, MA 02169-5250
Phone (617) 770-9690

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240208000123 MA Practitioner - Mental Health Counselor 9739522657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Volunteers of America of Massachusetts Inc.Group PAC ID 8325097025, 19 clinicians

Practice addresses (Care Compare)

5 Post Office SQ
Taunton, MA 02780-3206
Phone (719) 651-9226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America of Massachusetts Inc CurrentSince Jan 1, 2024 Accepting new patients
The Family Center Past Accepting new patients

Locations

1419 Hancock St
Quincy, MA 02169
Phone (617) 328-0639

1419 Hancock St
Ste 200
Quincy, MA 02169
Phone (617) 770-9690

1419 Hancock St
Ste 200202
Quincy, MA 02169
Phone (401) 338-2074

5 Post Office Sq
Taunton, MA 02780
Phone (508) 822-4027

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/voamass/r4/

Organizations & group practices 2

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1407349996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 HANCOCK ST STE 200",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695250",
            "telephone_number": "617-770-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HANCOCK ST STE 200",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695250",
            "telephone_number": "617-770-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSTAD",
        "first_name": "KIRSTEN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.