Individual provider Active NPI

Kristy Harrington

  • Mental Health Counselor
  • Beverly, MA
National Provider Identifier
1861946642
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12255 Issued in MA
Practice address
800 Cummings Ctr Ste 364U
Beverly, MA 01915-6174
Phone
(978) 867-7137
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X 12255 MA Primary

Addresses

Primary practice location

800 Cummings Ctr Ste 364U
Beverly, MA 01915-6174

Mailing address

800 Cummings Ctr Ste 266T
Beverly, MA 01915-6172
Phone (978) 867-7137

Other practice location 1

284 Washington St Rear
Peabody, MA 01960-6097
Phone (617) 851-8453

Other practice location 2

3 Walnut St Apt 2
Wakefield, MA 01880-2726
Phone (781) 486-3866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12255MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1861946642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CUMMINGS CTR STE 266T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156172",
            "telephone_number": "978-867-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CUMMINGS CTR STE 364U",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156174",
            "telephone_number": "978-867-7137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "284 Washington St Rear",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019606097",
            "country_code": "US",
            "telephone_number": "617-851-8453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Walnut St Apt 2",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "MA",
            "postal_code": "018802726",
            "country_code": "US",
            "telephone_number": "781-486-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "KRISTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.