Kimberly Masterson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00548 Issued in RI

Practice address

1500 Pontiac Ave
Cranston, RI 02920-4486

Phone

(401) 371-0223

NPI assigned

Dec 15, 2008

Last updated

Sep 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Me Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1043502214
  Medicare reassignment NPD
• Colony Care Inc

  dba Colony Care Behavioral Health

  • Mental Health Counselor
  • Wellesley, MA
  • NPI 1720053408
  NPD

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1770728198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204486",
            "telephone_number": "401-371-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204486",
            "telephone_number": "401-371-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "KIMBERLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8066",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Martinous, OTR/L
• Gaiane Martirossian, DA
• Tammika Maselli
• Joseph Anthony Masiello, PA-C
• Kristi Rae Mason, MSPT
• David P. Mastrostefano, DMD
• Rena B Mate, M.D.
• Patricia Marie Mathews, PHARMACIST
• Karen R Mathewson, OTR/L,CHT
• Joseph P. Matrullo, DMD

• Mental Health Counselor in Cranston, RI
• Providers in Cranston, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.