Individual provider Active NPI

Kylee Mueggenburg

  • Mental Health Counselor
  • Newton, MA
National Provider Identifier
1922746593
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
21582 Issued in CA
Practice address
39 Green Park
Newton, MA 02458-2605
Phone
(916) 765-1100
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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 21582 CA Primary

Addresses

Primary practice location

39 Green Park
Newton, MA 02458-2605

Mailing address

39 Green Park
Newton, MA 02458-2605
Phone (916) 765-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21582CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Episcopal Community Services of San Francisco CurrentSince Oct 15, 2023 Accepting new patients
Episcopal Community Services of San Francisco CurrentSince May 1, 2022 Accepting new patients
Episcopal Community Services of San Francisco PastSince May 1, 2022 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1922746593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GREEN PARK",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582605",
            "telephone_number": "916-765-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GREEN PARK",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582605",
            "telephone_number": "916-765-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUEGGENBURG",
        "first_name": "KYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "21582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.