Individual provider Active NPI

Kerry Hill, LCSW

  • Mental Health Counselor
  • Newburyport, MA
National Provider Identifier
1679247431
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
26 Parker St
Newburyport, MA 01950-4080
Phone
(978) 206-1430
NPI assigned
Aug 5, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

26 Parker St
Newburyport, MA 01950-4080

Mailing address

26 Parker St
Newburyport, MA 01950-4080

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SIMPLEPRACTICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816002043 MA Practitioner - Clinical Social Worker 6608314034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Greater Salem, Inc CurrentSince Jul 22, 2024 Accepting new patients

Locations

30 Tozer Rd
Beverly, MA 01915
Phone (978) 712-1100

84 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 745-3050

Interoperability endpoints

  • Direct secure messaging: khill40734@direct.chppoc.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/2804/brand/1/csg/1/fhir/r4

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1679247431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PARKER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PARKER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504080",
            "telephone_number": "978-206-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KERRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SIMPLEPRACTICE",
            "affiliation": "N",
            "endpointDescription": "SIMPLEPRACTICE",
            "address_1": "26 Parker St",
            "city": "Newburyport",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019504080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.