K.C. Psychotherapy – Mental Health Counselor

Key facts

NPI: 1518852425
Entity type: Organization (NPI type 2)
Primary specialty: Mental Health Counselor 101YM0800X
Legal business name: K.C. PSYCHOTHERAPY
Practice address: 88 Hubbard St Apt 1
Malden, MA 02148-5438
Phone: (603) 682-2208
NPI assigned: Jun 11, 2025
Organization subpart: No

Authorized official

Name: Ms. Kaitlyn Coppola, LMHC
Title: Owner
Phone: (603) 682-2208

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Kaitlyn Coppola Counselor · Salem, MA · NPI 1710403886

Medicare reassignment NPD MA
Stephen Brevik Clinical Psychologist · Northborough, MA · NPI 1982016937

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20260408001405	MA	Part B Supplier - Clinic/Group Practice	0648745505	Receives reassigned benefits from 1 practitioner Practice locations: Malden, MA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor Group: 193400000X SINGLE SPECIALTY GROUP	101YM0800X			Yes

Addresses

Primary practice location

88 Hubbard St Apt 1
Malden, MA 02148-5438

Mailing address

68 Harrison Ave Ste 605
Boston, MA 02111-1929

Other names

K.C. Psychotherapy PLLC Doing business as

Other providers in Malden, MA

All providers in Malden, MA · Mental Health Counselor in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.