Active NPI
Kristin Hopwood Rogers, LMHC, LCMHC, LADC
- Mental Health Counselor
- Middleton, MA
National Provider Identifier
1962633941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1975
- Practice address
- 26 Donovans Way
Middleton, MA 01949-1900 - Phone
- (617) 406-9298
- NPI assigned
- Aug 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1975 | NH | Primary |
| Mental Health Counselor | 101YM0800X | 504759 | MA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10141 | MA |
Addresses
Primary practice location
26 Donovans Way
Middleton, MA 01949-1900
Mailing address
26 Donovans Way
Middleton, MA 01949-1900
Phone (617) 406-9298
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
| License | State | Type | Specialty |
|---|---|---|---|
| 504759 | MA | MD | Mental Health Counselor |
| 10141 | MA | MD | Counseling Psychologist |
| 1975 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prevention Partners, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wakefield, MA
- NPI 1396269411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1962633941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 DONOVANS WAY",
"city": "MIDDLETON",
"state": "MA",
"postal_code": "019491900",
"telephone_number": "617-406-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 DONOVANS WAY",
"city": "MIDDLETON",
"state": "MA",
"postal_code": "019491900",
"telephone_number": "617-406-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KRISTIN",
"middle_name": "HOPWOOD",
"name_prefix": "Mrs.",
"credential": "LMHC, LCMHC, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-07",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "1975",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "504759",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "10141",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.