Kincasa Recovery Centers LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

KINCASA RECOVERY CENTERS LLC

Practice address

144 W Main St
Northborough, MA 01532-1802

Phone

(603) 440-8618

NPI assigned

Jun 6, 2025

Organization subpart

No

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

Authorized official

Name

Dennis Theriault

Title

Ceo

Phone

(603) 440-8618

Specialties & licenses 1

Addresses

Tax ID family

Kincasa Recovery Centers LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Kincasa Recovery Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Auburn, MA
  • NPI 1346181658
  NPD tax ID
• Kincasa Recovery Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Millbury, MA
  • NPI 1942141254
  NPD tax ID
• Kincasa Recovery Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Shrewsbury, MA
  • NPI 1962343277
  NPD tax ID

Locations

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1932093523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 TURNPIKE RD STE 200",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722156",
            "telephone_number": "603-440-8618",
            "fax_number": "323-546-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321802",
            "telephone_number": "603-440-8618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Turnpike Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Southborough",
            "state": "MA",
            "postal_code": "017722156",
            "country_code": "US",
            "telephone_number": "603-440-8618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINCASA RECOVERY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "THERIAULT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-440-8618"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Haley Kenney
• Andreamaria Kick, D.P.T.
• Clara Kim, M.D.
• Daeun Kim
• Kieun Kim, DDS
• Tracey Colleen King, LICSW
• Mary N Kinyanjui
• Nicole Konarski
• Lara Kopoyan, A.T.
• Marjorie Pierce Kroeger, MA, LMHC

• Substance Abuse Rehabilitation Facility in Northborough, MA
• Providers in Northborough, MA by specialty
• Substance Abuse Rehabilitation Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.