Andover Therapy Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ANDOVER THERAPY SERVICES LLC

Practice address

38 Main St Ste 2B
Andover, MA 01810-3733

Phone

(603) 843-5108

NPI assigned

Dec 14, 2022

Last updated

Dec 14, 2022By 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

Katelyn Keleigh Macdonald, LMHCNPI 1619512373

Title

Licensed Mental Health Counselor

Phone

(603) 843-5108

Specialties & licenses 1

Addresses

Other names 1

• Katy MacDonald LMHC Former legal business name

Locations

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.

• Katelyn Keleigh Macdonald, LMHC

  • Mental Health Counselor
  • Allston, MA
  • NPI 1619512373
  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1912619685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CARMEL RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103118",
            "telephone_number": "603-843-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MAIN ST STE 2B",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103733",
            "telephone_number": "603-843-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "KELEIGH",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "603-843-5108",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katy MacDonald LMHC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Andover Social Development and Counseling Center
• Andover Spine Center
• Andover Surgery Center, LP
• Andover Surgical Associates, Inc.
• Andover Surgical Associates, LLC
• Paula Andrejko, PT
• Steven Jason Andriola, M.D.
• Daniella G Andujar, RN
• Anesthetic Solutions PC
• Angel Homecare LLC

• Mental Health Counselor in Andover, MA
• Providers in Andover, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.