Active NPI
Kelley Anne Costello
- Marriage & Family Therapist
- Taunton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1683
- Practice address
- 135 Washington St
Taunton, MA 02780-2582 - Phone
- (508) 615-6628
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1683 | MA | Primary |
Addresses
Primary practice location
135 Washington St
Taunton, MA 02780-2582
Mailing address
135 Washington St
Taunton, MA 02780-2582
Phone (508) 615-6628
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1683 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelley Costello, LMFT, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
| High Point Treatment Center Inc. | Current | Accepting new patients |
Locations
10 S Main St
Ste 207
Attleboro, MA 02703
Phone (774) 322-1306
30 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 408-6190
72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448
1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527
61 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 746-8977
Organizations & group practices 2
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.
-
- Counselor
- New Bedford, MA
- NPI 1518996354
-
- Marriage & Family Therapist
- Attleboro, MA
- NPI 1164029344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1831539717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 WASHINGTON ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027802582",
"telephone_number": "508-615-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 WASHINGTON ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027802582",
"telephone_number": "508-615-6628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "KELLEY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "1683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.