Individual provider Active NPI

Kirsten Lee Winin, MA

  • Counselor
  • Hudson, MA
National Provider Identifier
1912698739
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
43 Broad St Ste B206
Hudson, MA 01749-2565
Phone
(781) 693-3200
NPI assigned
May 15, 2023
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

43 Broad St Ste B206
Hudson, MA 01749-2565

Mailing address

43 Broad St Ste B206
Hudson, MA 01749-2565
Phone (781) 693-3200

Other practice location 1

411 Chandler St
Worcester, MA 01602-3339
Phone (781) 428-4904

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
I20260611000248 MA Practitioner - Mental Health Counselor 5890267850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

43 Broad St
Suite B206
Hudson, MA 01749-2556

72 N Shore Dr
Stow, MA 01775-1576

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JBW Psychological Services LLC CurrentSince Jul 2, 2023 Accepting new patients

Locations

43 Broad St
Ste B206
Hudson, MA 01749
Phone (781) 593-3200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1912698739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROAD ST STE B206",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492565",
            "telephone_number": "781-693-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROAD ST STE B206",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492565",
            "telephone_number": "781-693-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Chandler St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016023339",
            "country_code": "US",
            "telephone_number": "781-428-4904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WININ",
        "first_name": "KIRSTEN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

Verify at the official NPI Registry.