Active NPI
Gloria Asiriuwa Kincade
- Mental Health Counselor
- Salem, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC10002437
- 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
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 | 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkspace Provider Network PA | Current | Accepting new patients | |
| SB Transitional Sub, LLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Northeast Health Services, LLC | Current | Accepting new patients | |
| South Bay Mental Health Center, Inc. | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1639814049
IN, MA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1962091173
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1023096864
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.