Active NPI
Kyla Connor
- Mental Health Counselor
- Northborough, MA
National Provider Identifier
1669769766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9384
- Practice address
- 96 W Main St Ste E1
Northborough, MA 01532-3810 - Phone
- (508) 422-0024
- NPI assigned
- Jul 9, 2011
- Last updated
- Nov 16, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9384 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
96 W Main St Ste E1
Northborough, MA 01532-3810
Mailing address
6 Sylvan LN
Boylston, MA 01505-1434
Phone (508) 498-6441
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 |
|---|---|---|---|
| 9384 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kyla E White LMHC PC | Mental Health | Current | Accepting new patients |
Locations
96 W Main St
Ste E1
Northborough, MA 01532
Phone (508) 422-0024
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1669769766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SYLVAN LN",
"city": "BOYLSTON",
"state": "MA",
"postal_code": "015051434",
"telephone_number": "508-498-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 W MAIN ST STE E1",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015323810",
"telephone_number": "508-422-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "KYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-09",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9384",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.