Active NPI
Nicole M Kominsky, LMHC
- Counselor
- Hyannis, MA
National Provider Identifier
1609222769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 100 Independence Dr # 8
Hyannis, MA 02601-1898 - Phone
- (508) 778-1839
- NPI assigned
- May 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
100 Independence Dr # 8
Hyannis, MA 02601-1898
Mailing address
3057 Acushnet Ave
New Bedford, MA 02745-3636
Phone (508) 264-1074
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240216003523 | MA | Practitioner - Mental Health Counselor | 5193169241 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child & Family Services, Inc. | Current | Accepting new patients |
Locations
100 Independence Dr
#8
Hyannis, MA 02601
Phone (508) 778-1839
3057 Acushnet Ave
New Bedford, MA 02745
Phone (508) 742-1040
965 Church St
New Bedford, MA 02745
Phone (508) 996-3154
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1609222769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3057 ACUSHNET AVE",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027453636",
"telephone_number": "508-264-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INDEPENDENCE DR # 8",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026011898",
"telephone_number": "508-778-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMINSKY",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.