Active NPI
Kathryn Ledoux, LMHC
- Mental Health Counselor
- Smithfield, RI
National Provider Identifier
1417673088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10849
- Practice address
- 1 Louise Ann Dr
Smithfield, RI 02917-3209 - Phone
- (401) 339-3925
- NPI assigned
- Oct 17, 2022
- Last updated
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00767 | RI | |
| Mental Health Counselor | 101YM0800X | 10849 | MA | Primary |
Addresses
Primary practice location
1 Louise Ann Dr
Smithfield, RI 02917-3209
Mailing address
1 Louise Ann Dr
Smithfield, RI 02917-3209
Phone (401) 339-3925
Other names 1
- Kathryn Degnan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 24, 2024 through Aug 24, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00767 | RI | MD | Mental Health Counselor |
| 10849 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Psychotherapy Center of Greater Boston, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Counseling & Psychotherapy Center, Inc
- Community/Behavioral Health Agency
- Needham, MA
- NPI 1861611592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1417673088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LOUISE ANN DR",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "029173209",
"telephone_number": "401-339-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LOUISE ANN DR",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "029173209",
"telephone_number": "401-339-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDOUX",
"first_name": "KATHRYN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00767",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "10849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "DEGNAN",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Smithfield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.