Individual provider Active NPI

Gloria Asiriuwa Kincade

  • Mental Health Counselor
  • Salem, MA
National Provider Identifier
1528512985
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10002437 Issued in MA
Practice address
110 Boston St
Salem, MA 01970-1402
Phone
(978) 744-7905
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC10002437 MA Primary
Mental Health Counselor 101YM0800X 39005282A IN

Addresses

Primary practice location

110 Boston St
Salem, MA 01970-1402

Mailing address

1111 W Main St Apt 220
Carmel, IN 46032-1585
Phone (617) 852-6683

Other practice location 1

1111 W Main St Apt 220
Carmel, IN 46032-1585
Phone (617) 852-6683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240830002801 MA Practitioner - Mental Health Counselor 0749729960 Reassigns benefits to 5 organizations
I20250709000963 IN Practitioner - Mental Health Counselor 0749729960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

1 Emerson PL
Suite 3H
Boston, MA 02114-2252
Phone (855) 284-7483

101 Federal St
Boston, MA 02110-1817
Phone (323) 205-7088

7 Sibley Rd
Winchendon, MA 01475-1056
Phone (508) 733-2732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Jan 2, 2025 Accepting new patients
SB Transitional Sub, LLC CurrentSince Aug 4, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 12, 2025 Accepting new patients
Northeast Health Services, LLC CurrentSince Jul 23, 2024 Accepting new patients
South Bay Mental Health Center, Inc. CurrentSince Aug 4, 2024 Accepting new patients

Locations

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

103 Commercial St
Ste 2
Brockton, MA 02302

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

37 Water St
Ste 1
Wakefield, MA 01880
Phone (781) 223-8042

50 Tower Office Park
Woburn, MA 01801
Phone (339) 345-2359

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774137600000",
    "number": "1528512985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W MAIN ST APT 220",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321585",
            "telephone_number": "617-852-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BOSTON ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019701402",
            "telephone_number": "978-744-7905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Main St Apt 220",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460321585",
            "country_code": "US",
            "telephone_number": "617-852-6683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCADE",
        "first_name": "GLORIA",
        "middle_name": "ASIRIUWA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002437",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005282A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.