Individual provider Active NPI

Kevin Richard Owens Jr., PMHNP-BC, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, MA
National Provider Identifier
1750181459
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2325346 Issued in MA
Practice address
1017 Turnpike St Ste 32a
Canton, MA 02021-2853
Phone
(781) 236-7343
NPI assigned
Mar 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2325346 MA Primary
Registered Nurse 163W00000X RN2325346 MA

Addresses

Primary practice location

1017 Turnpike St Ste 32a
Canton, MA 02021-2853

Mailing address

42 Boyden Rd
Holden, MA 01520-2514
Phone (774) 641-9410

Other practice location 1

42 Boyden Rd
Holden, MA 01520-2514
Phone (774) 641-9410

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304003004 MA Practitioner - Nurse Practitioner 3779065115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First-Class Behavioral and Counseling ServicesGroup PAC ID 5395128276, 11 clinicians

Practice addresses (Care Compare)

1017 Turnpike St
Suite 32a
Canton, MA 02021-2853
Phone (781) 236-7343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN2325346MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First-Class Behavioral & Counseling Services Psychiatric/Mental Health CurrentSince Feb 3, 2026 Accepting new patients

Locations

1017 Turnpike St
Ste 32A
Canton, MA 02021
Phone (781) 236-7343

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.

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1750181459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BOYDEN RD",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015202514",
            "telephone_number": "774-641-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST STE 32A",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212853",
            "telephone_number": "781-236-7343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Boyden Rd",
            "address_purpose": "LOCATION",
            "city": "Holden",
            "state": "MA",
            "postal_code": "015202514",
            "country_code": "US",
            "telephone_number": "774-641-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "KEVIN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PMHNP-BC, MSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-13",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2325346",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2325346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.