Individual provider Active NPI

Kit Costas Reyes McCann, LMFT

  • Marriage & Family Therapist
  • Portsmouth, NH
National Provider Identifier
1740521202
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
170 Issued in NH
Practice address
200 International Dr Ste 157
Portsmouth, NH 03801-6833
Phone
(603) 777-6385
Fax
(603) 812-4586
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000939 NY
Marriage & Family Therapist 106H00000X 170 NH Primary

Addresses

Primary practice location

200 International Dr Ste 157
Portsmouth, NH 03801-6833

Mailing address

200 International Dr Ste 157
Portsmouth, NH 03801-6833
Phone (603) 777-6385

Other practice location 1

489 East 153rd St
2nd floor
Bronx, NY 10455
Phone (718) 742-7000 ext. 37020

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
170NHMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1740521202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 INTERNATIONAL DR STE 157",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016833",
            "telephone_number": "603-777-6385",
            "fax_number": "603-812-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INTERNATIONAL DR STE 157",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016833",
            "telephone_number": "603-777-6385",
            "fax_number": "603-812-4586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 East 153rd St",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10455",
            "country_code": "US",
            "telephone_number": "718-742-7000 x37020",
            "fax_number": "718-665-2513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "KIT",
        "middle_name": "COSTAS REYES",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "000939",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.