Kindmind Crossroads & Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KINDMIND CROSSROADS & COUNSELING, LLC

Doing business as

KindMind Crossroads

Practice address

71 Wigglesworth St
Malden, MA 02148-7436

Phone

(617) 420-2296

NPI assigned

Jan 10, 2025

Last updated

Jan 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Thomas Hale, MSW, LICSWNPI 1114266848

Title

Owner & Ceo

Phone

(617) 420-2296

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• KindMind Crossroads Doing business as

Practitioners 1

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.

• Patrick Thomas Hale, MSW, LICSW

  • Clinical Social Worker
  • Everett, MA
  • NPI 1114266848
  NPD Authorized official

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1881404887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PLEASANT ST # 1179",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484904",
            "telephone_number": "617-420-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WIGGLESWORTH ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021487436",
            "telephone_number": "617-420-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDMIND CROSSROADS & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "617-420-2296",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTRATION OF SOCIAL WORK",
            "identifier": "LICSW119955",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KindMind Crossroads",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Kilbride, MS, CCC-A
• Amanda Grace Kilburn, M.S., CFY-SLP
• Hakseong Kim
• Ji-Hyun Kim
• Susan Kim, DMD
• Ashley Cristina Augustus King, MD, MPH, MS
• Amy Kinyon
• Michael P Kippenberger
• Victoria Klappert
• Jessica Klau, LICSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Malden, MA
• Providers in Malden, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.