Active NPI
Katherine Kinsella, ED.D, LMFT, LMHC
- Marriage & Family Therapist
- Warwick, RI
National Provider Identifier
1649678178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT00179
- Practice address
- 2348 Post Rd
Ste 107
Warwick, RI 02886-2258 - Phone
- (401) 447-9127
- NPI assigned
- Dec 16, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MHC00885 | RI | |
| Marriage & Family Therapist | 106H00000X | 4649 | SC | |
| Marriage & Family Therapist | 106H00000X | MFT00179 | RI | Primary |
Addresses
Primary practice location
2348 Post Rd
Ste 107
Warwick, RI 02886-2258
Mailing address
126 Pawtuxet Ter
West Warwick, RI 02893-5212
Phone (843) 696-6221
Other practice location 1
2220 Plainfield Pike
Cranston, RI 02921-2031
Phone (401) 889-3788
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00885 | RI | MD | Professional Counselor |
| MFT00179 | RI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illuminate Life Counseling, LLC | Professional | Current | Accepting new patients |
| Illuminate Life Wellness LLC | Current | Accepting new patients |
Locations
2220 Plainfield Pike
Ste 100
Cranston, RI 02921
Phone (401) 297-3256
2220 Plainfield Pike
Cranston, RI 02921
Phone (401) 383-3400
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Cranston, RI
- NPI 1528575123
Professional
-
- Adult Mental Health Clinic/Center
- West Warwick, RI
- NPI 1114512829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649678178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 PAWTUXET TER",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028935212",
"telephone_number": "843-696-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2348 POST RD",
"address_2": "STE 107",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862258",
"telephone_number": "401-447-9127"
}
],
"practiceLocations": [
{
"address_1": "2220 Plainfield Pike",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029212031",
"country_code": "US",
"telephone_number": "401-889-3788",
"fax_number": "401-223-6506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINSELLA",
"first_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "ED.D, LMFT, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "RI",
"license": "MHC00885",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "4649",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "RI",
"license": "MFT00179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.