Organization Active NPI

Kinder Mind LLC

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1871290593
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KINDER MIND LLC
Practice address
6 Liberty SQ
Boston, MA 02109-5800
Phone
(508) 322-1487
NPI assigned
Feb 13, 2023
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. Mary Elizabeth Barlow, PHD, LICSWNPI 1376908533
Title
President
Phone
(508) 322-1487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

6 Liberty SQ
Boston, MA 02109-5800

Mailing address

1128 Wayne Lee Rd
Lucedale, MS 39452-7233
Phone (866) 846-7765

Other practice location 1

1128 Wayne Lee Rd
Lucedale, MS 39452-7233
Phone (866) 846-7765

Other practice location 2

7512 Rolling Rd
Springfield, VA 22153-2334
Phone (301) 200-1165

Other practice location 3

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (866) 846-7765

Other practice location 4

8 The Grn Ste A
Dover, DE 19901-3618
Phone (508) 322-1487

Other practice location 5

2017 Federal St
Philadelphia, PA 19146-2829
Phone (878) 201-4024

Other practice location 6

405 E Laburnum Ave Ste 3
Richmond, VA 23222-2134
Phone (508) 322-1487

Other practice location 7

1128 Wayne Lee Rd
Lucedale, MS 39452-7233
Phone (866) 846-7765

Other names 1

  • Barlow Counseling Group LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MA, CT, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20250205001274 MS Part B Supplier - Clinic/Group Practice 3072043116 Receives reassigned benefits from 3 practitioners
Practice locations: Lucedale, MS
O20250521001046 MA Part B Supplier - Clinic/Group Practice 3072043116 Receives reassigned benefits from 2 practitioners
Practice locations: Boston, MA
O20251014000922 CT Part B Supplier - Clinic/Group Practice 3072043116 Receives reassigned benefits from 1 practitioner
Practice locations: West Hartford, CT
O20251223001231 IL Part B Supplier - Clinic/Group Practice 3072043116 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Carroll, IL

National Provider Directory

National Provider Directory

Locations

811 S Clay St
Mount Carroll, IL 61053
Phone (866) 846-7765

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1871290593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 WAYNE LEE RD",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394527233",
            "telephone_number": "866-846-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQ",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021095800",
            "telephone_number": "508-322-1487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 Wayne Lee Rd",
            "address_purpose": "LOCATION",
            "city": "Lucedale",
            "state": "MS",
            "postal_code": "394527233",
            "country_code": "US",
            "telephone_number": "866-846-7765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7512 Rolling Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221532334",
            "country_code": "US",
            "telephone_number": "301-200-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 Balcones Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787314298",
            "country_code": "US",
            "telephone_number": "866-846-7765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 The Grn Ste A",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013618",
            "country_code": "US",
            "telephone_number": "508-322-1487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2017 Federal St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191462829",
            "country_code": "US",
            "telephone_number": "878-201-4024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 E Laburnum Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232222134",
            "country_code": "US",
            "telephone_number": "508-322-1487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1128 Wayne Lee Rd",
            "address_purpose": "LOCATION",
            "city": "Lucedale",
            "state": "MS",
            "postal_code": "394527233",
            "country_code": "US",
            "telephone_number": "866-846-7765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINDER MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-322-1487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barlow Counseling Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Barlow Counseling Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.