Individual provider Active NPI

Katrina Marie Harrigan, LMHC

  • Mental Health Counselor
  • Waltham, MA
National Provider Identifier
1467964155
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13135-MH-CC Issued in MA
Practice address
184 Ash St
Waltham, MA 02453-5130
Phone
(617) 642-2907
NPI assigned
Nov 2, 2017
Reactivated
Nov 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 13135-MH-CC MA Primary

Addresses

Primary practice location

184 Ash St
Waltham, MA 02453-5130

Mailing address

184 Ash St
Waltham, MA 02453-5130
Phone (617) 642-2907

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
I20240219002735 MA Practitioner - Mental Health Counselor 7012351984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hri Clinics, Inc.Group PAC ID 8022088483, 104 clinicians

Practice addresses (Care Compare)

10 I Roessler Rd
Woburn, MA 01801-6208
Phone (781) 932-8114

21 George St
Lowell, MA 01852-2228
Phone (978) 453-5736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13135-MH-CCMAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 20, 2024 Accepting new patients
Hri Clinics, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Hri Clinics Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

14 Fordham Rd
Boston, MA 02134
Phone (617) 783-9676

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

10I Roessler Rd
Woburn, MA 01801
Phone 7819328114 ext. 300

Organizations & group practices 3

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": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1467964155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 ASH ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535130",
            "telephone_number": "617-642-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 ASH ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535130",
            "telephone_number": "617-642-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIGAN",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "deactivation_date": "2017-11-03",
        "reactivation_date": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "13135-MH-CC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.