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KATHERINE SANDRA HANLEY PMHNP-BC, LMHC
NPI 1124282470
Nurse Practitioner - Psychiatric/Mental Health in Brockton, MA

Active since July 16, 2008PECOS EnrolledAccepts Medicare Assignment
30 MEADOWBROOK RD, BROCKTON, MA 02301(857) 225-4076(508) 408-6199 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katherine Sandra Hanley Pmhnp-bc, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE SANDRA HANLEY PMHNP-BC, LMHC (NPI 1124282470) is an individual psychiatric/mental health provider in Brockton, Massachusetts, licensed in Massachusetts (RN2290510) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1124282470
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHERINE SANDRA HANLEYCredential: PMHNP-BC, LMHC
Location Address30 MEADOWBROOK RDBrockton, MA 02301-7122
Mailing Address30 Meadowbrook RdBrockton, MA 02301-7122 · (857) 225-4076 · Fax (508) 408-6199
Phone(857) 225-4076
Fax(508) 408-6199
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 16, 2008
Last NPPES UpdateJanuary 22, 2020
✔ NPI 1124282470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2290510
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 8236 (MA)
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2290510 (MA)
30 MEADOWBROOK RD, Brockton, MA 02301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Sandra Hanley Pmhnp-bc, Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072826254
PECOS Enrollment IDI20150716002124
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine Hanley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Square Medical Group LLC
23 mi
Adult Mental Health
124 WATERTOWN ST, SUITE 2D
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 27 clinicians in this Medicare group
NPI 1356515464 (617) 916-5069
High Point Treatment Center Inc.
28 mi
Counselor
72 KILBURN ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 99 clinicians in this Medicare group
NPI 1518996354 (774) 628-1033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA CUMMISKY
Counselor (Addiction (Substance Use Disorder))
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 628-1000
SEAN KRAUSE
Counselor (Addiction (Substance Use Disorder))
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 689-5576
LISA DOUBLEDAY M.ED
Counselor (Addiction (Substance Use Disorder))
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 408-6190
JEAN ANN CAMBRA CSP
Case Manager/Care Coordinator
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 264-1681
ANABEL GRAHAM BA
Counselor (Mental Health)
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (978) 235-6548
ALLISON MARIE BULGER
Counselor
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 213-8336
KRISTA LEE GUZMAN
Counselor (Addiction (Substance Use Disorder))
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (617) 391-0846
CARYL BRAYTON TOOLE
Counselor
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 746-4486

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Hanley's NPI number?

The NPI number for Katherine Hanley is 1124282470. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Katherine Hanley located?

Katherine Hanley practices at 30 Meadowbrook Rd, Brockton, MA 02301. The listed phone number is (857) 225-4076.

What is Katherine Hanley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Katherine Hanley enrolled in Medicare?

Yes. Katherine Hanley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katherine Hanley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Hanley reassigns Medicare benefits to 2 organizations: Square Medical Group LLC (Watertown, MA) and High Point Treatment Center Inc. (New Bedford, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Hanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Hanley was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.