Kyla Connor

Individual provider Active NPI Mental Health Counselor · Northborough, MA

NPI 1669769766 · NPPES record last updated Nov 16, 2023

Key facts

NPI
1669769766
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
9384 (MA)
Practice address
96 W Main St Ste E1
Northborough, MA 01532-3810
Phone
(508) 422-0024
NPI assigned
Jul 9, 2011
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Kyla E White LMHC PC Mental Health Current
since Nov 19, 2023
Accepting new patients

Locations

96 W Main St
Ste E1
Northborough, MA 01532
Phone (508) 422-0024

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9384 MA Yes
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

Other providers in Northborough, MA

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

Sources for this page

Verify at the official NPI Registry.