Individual provider Active NPI

Katherine Kinsella, ED.D, LMFT, LMHC

  • Marriage & Family Therapist
  • Warwick, RI
National Provider Identifier
1649678178
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT00179 Issued in RI
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MHC00885RIMDProfessional Counselor
MFT00179RIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Illuminate Life Counseling, LLC Professional Current Accepting new patients
Illuminate Life Wellness LLC CurrentSince Mar 7, 2021 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.

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.

Verify at the official NPI Registry.