Individual provider Active NPI

Kaila Griffin

  • Mental Health Counselor
  • Tyngsboro, MA
National Provider Identifier
1639828494
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10002831 Issued in MA
Practice address
121 Farwell Rd
Tyngsboro, MA 01879-1060
Phone
(978) 219-4246
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC10002831 MA Primary

Addresses

Primary practice location

121 Farwell Rd
Tyngsboro, MA 01879-1060

Mailing address

2 Bourbon St Ste LL03
Peabody, MA 01960-1334

Other practice location 1

2 Bourbon St Ste Ll03
Peabody, MA 01960-1334
Phone (978) 712-9286

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911003780 MA Practitioner - Mental Health Counselor 5890235238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

121 Farwell Rd
Tyngsboro, MA 01879-1060
Phone (978) 219-4246

59 Lowes Way
Lowell, MA 01851-5018
Phone (978) 565-0569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Aug 28, 2024 Accepting new patients
New Perspective Counseling, LLC Current Accepting new patients
Justice Resource Institute, Inc. PastSince Mar 27, 2022 Accepting new patients

Locations

59 Lowes Way
Lowell, MA 01851
Phone (617) 733-4166

59 Lowes Way
Ste 401
Lowell, MA 01851
Phone (978) 565-0569

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

Interoperability endpoints

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

Organizations & group practices 3

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1639828494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BOURBON ST STE LL03",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FARWELL RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791060",
            "telephone_number": "978-219-4246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bourbon St Ste Ll03",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019601334",
            "country_code": "US",
            "telephone_number": "978-712-9286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KAILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyngsboro, MA

Sources for this page

Verify at the official NPI Registry.