Cheryl Kaufmann, LMHC

Individual provider Active NPI Mental Health Counselor · Dedham, MA

NPI 1659503191 · NPPES record last updated Aug 18, 2009

Key facts

NPI
1659503191
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
7133 (MA)
Practice address
20 Eastbrook Road
301
Dedham, MA 02026
Phone
(781) 302-4802
Fax
(781) 302-4635
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 4, 2024 through Jan 4, 2028

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7133MAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7133 MA Yes

Addresses

Primary practice location

20 Eastbrook Road
301
Dedham, MA 02026

Mailing address

20 Eastbrook Road
301
Dedham, MA 02026
Phone (781) 302-4802

Other providers in Dedham, MA

All providers in Dedham, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.