Individual provider Active NPI

Kimberly Stetz, M.ED., LMHC

  • Mental Health Counselor
  • East Bridgewater, MA
National Provider Identifier
1871483396
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6666 Issued in MA
Practice address
37 Leland St
East Bridgewater, MA 02333-1317
Phone
(617) 347-0078
NPI assigned
Jul 7, 2025
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 6666 MA Primary

Addresses

Primary practice location

37 Leland St
East Bridgewater, MA 02333-1317

Mailing address

37 Leland St
East Bridgewater, MA 02333-1317
Phone (617) 347-0078

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
I20260113000194 MA Practitioner - Mental Health Counselor 6800372566 Practice locations: East Bridgewater, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36 N Bedford St
East Bridgewater, MA 02333-1186

37 Leland St
East Bridgewater, MA 02333-1317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6666MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1871483396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 LELAND ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331317",
            "telephone_number": "617-347-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 LELAND ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331317",
            "telephone_number": "617-347-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETZ",
        "first_name": "KIMBERLY",
        "credential": "M.ED., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.