Christine A. Kjellson, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1022685 Issued in MA

Practice address

124 Jewett St
Newton, MA 02458-1525

Phone

(857) 231-2279

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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 and National Provider Directory roles.

• Riverside Community Care, Inc.

  • Community/Behavioral Health Agency
  • Norwood, MA
  • NPI 1780791467
  Medicare reassignment NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801822861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 JEWETT ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581525",
            "telephone_number": "857-231-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 JEWETT ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581525",
            "telephone_number": "857-231-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJELLSON",
        "first_name": "CHRISTINE",
        "middle_name": "A.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1022685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flavia Kitakule
• Erin Grace Kitchener, PHD
• Abigail Mary Kittler
• Ilana Kittrell
• Beth Kitzis, RDN
• Barry H. Klegman, M.D.
• Thelma Klein, LICSW
• Martha Joan Kleinerman, RN,C. M.S.
• Abigail Klerowski, LAC
• Eleanor Klibaner-Schiff

• Mental Health Counselor in Newton, MA
• Providers in Newton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.