EMILY KENISTON LICSW
NPI 1134664352
Psychologist - Health Service in Plymouth, MA

Q: What is Emily Keniston's NPI number?

The NPI number for Emily Keniston is 1134664352. It was assigned to this individual provider in the NPPES registry on December 23, 2016.

Q: What is Emily Keniston's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Emily Keniston was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 23, 2016PECOS Enrolled

64 INDUSTRIAL PARK RD, SUITE 5, PLYMOUTH, MA 02360(617) 847-1950(617) 774-1490 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Dec 23, 2016 (2 updates tracked since 2016).

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About Emily Keniston Licsw NPPES

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

EMILY KENISTON LICSW (NPI 1134664352) is an individual health service provider in Plymouth, Massachusetts and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134664352

Entity TypeIndividualFemale

Primary Taxonomy103TH0100X

Provider Legal NameEMILY KENISTONCredential: LICSW

Location Address64 INDUSTRIAL PARK RD, SUITE 5Plymouth, MA 02360-4881

Mailing Address64 Industrial Park Rd, Suite 5Plymouth, MA 02360-4881 · (617) 847-1950 · Fax (617) 774-1490

Phone(617) 847-1950

Fax(617) 774-1490

Sole ProprietorNo

Enumeration DateDecember 23, 2016

Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1134664352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

64 INDUSTRIAL PARK RD, Plymouth, MA 02360

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Keniston Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MS. ANN SARAH ROBINSON OTR/L

Occupational Therapist