Individual provider Active NPI

Nathaniel Ezra Kieval, LMHC, M.S.,ED.

  • Mental Health Counselor
  • Winchester, MA
National Provider Identifier
1851676654
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
37 Clark St
Winchester, MA 01890-1805
Phone
(781) 369-5644
NPI assigned
Oct 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

37 Clark St
Winchester, MA 01890-1805

Mailing address

37 Clark St
Winchester, MA 01890-1805
Phone (781) 369-5644

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924000174 MA Practitioner - Mental Health Counselor 7012458623

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman Counseling Past Accepting new patients
Brockton Area Multi-Services, Inc. Mental Health PastSince Jul 1, 1990 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1851676654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CLARK ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901805",
            "telephone_number": "781-369-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CLARK ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901805",
            "telephone_number": "781-369-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEVAL",
        "first_name": "NATHANIEL",
        "middle_name": "EZRA",
        "name_prefix": "Mr.",
        "credential": "LMHC, M.S.,ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.