Active NPI
Ketelie Altena, MSW, CLINICIAN
- Mental Health Counselor
- Worcester, MA
National Provider Identifier
1619228129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 10 Winthrop St Ste 3
Worcester, MA 01604-4445 - Phone
- (508) 752-4665
- Fax
- (508) 752-0947
- NPI assigned
- Sep 24, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10 Winthrop St Ste 3
Worcester, MA 01604-4445
Mailing address
2 Vigs Way
Worcester, MA 01604-1361
Phone (508) 373-8121
Other practice location 1
11 Sandersdale Rd
Southbridge, MA 01550-2855
Phone (774) 420-2311 ext. 408
Other names 1
- Kekette Altena
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicultural Wellness Center Inc | Current | Accepting new patients | |
| Multicultural Counseling Collaborative, Inc. | Current | Accepting new patients |
Locations
10 Winthrop St
Ste 3
Worcester, MA 01604
Phone (774) 321-0665
250 Commercial St
Ste 200
Worcester, MA 01608
Phone (508) 752-4685
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Worcester, MA
- NPI 1497995757
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1669910543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1619228129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 VIGS WAY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041361",
"telephone_number": "508-373-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WINTHROP ST STE 3",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044445",
"telephone_number": "508-752-4665",
"fax_number": "508-752-0947"
}
],
"practiceLocations": [
{
"address_1": "11 Sandersdale Rd",
"address_purpose": "LOCATION",
"city": "Southbridge",
"state": "MA",
"postal_code": "015502855",
"country_code": "US",
"telephone_number": "774-420-2311 x408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALTENA",
"first_name": "KETELIE",
"credential": "MSW, CLINICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEKETTE",
"last_name": "ALTENA",
"credential": "MSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.