Individual provider Active NPI

Karter Kency Grant, LMHC, NCC

  • Mental Health Counselor
  • East Longmeadow, MA
National Provider Identifier
1972931848
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10697 Issued in MA
Practice address
15 Benton Dr Ste 11
East Longmeadow, MA 01028-3232
Phone
(413) 342-1756
Fax
(413) 707-1410
NPI assigned
Oct 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 10697 MA Primary

Addresses

Primary practice location

15 Benton Dr Ste 11
East Longmeadow, MA 01028-3232

Mailing address

15 Benton Dr Ste 11
East Longmeadow, MA 01028-3231
Phone (413) 342-1756

Other names 1

  • Kency Gilet Former name

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
I20250210001292 MA Practitioner - Mental Health Counselor 2769912583 Reassigns benefits to 1 organization
Practice locations: East Longmeadow, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

90 Canal St
Suite 4
Boston, MA 02114-2022
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10697MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Libertas Counseling, LLC Mental Health CurrentSince Dec 9, 2019 Accepting new patients
Sondermind Provider Network LLC CurrentSince Feb 7, 2025 Accepting new patients
Center for Psychological and Family Services Inc PastSince Jun 15, 1990 Accepting new patients

Locations

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

15 Benton Dr
Ste 11
East Longmeadow, MA 01028
Phone (413) 281-2152

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": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1972931848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BENTON DR STE 11",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283231",
            "telephone_number": "413-342-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BENTON DR STE 11",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283232",
            "telephone_number": "413-342-1756",
            "fax_number": "413-707-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KARTER",
        "middle_name": "KENCY",
        "name_prefix": "Mr.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-31",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENCY",
            "last_name": "GILET",
            "credential": "LMHC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.