Katherine Hart, LICSW
Individual provider Active NPI Counselor · Orange, MA
NPI 1972045706 · NPPES record last updated Feb 9, 2017
Key facts
- NPI
- 1972045706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 107693 (MA)
- Practice address
- 131 W Main St
Ste 209
Orange, MA 01364-1158 - Phone
- (719) 966-2040
- NPI assigned
- Nov 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107693 | MA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 107693 | MA | Yes |
Addresses
Primary practice location
131 W Main St
Ste 209
Orange, MA 01364-1158
Mailing address
PO Box 865
Orange, MA 01364-0865
Phone (719) 966-2040
Other providers in Orange, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.