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KATHERINE J ENNIS
NPI 1255999124
Counselor - Mental Health in Randolph, MA

Active since June 05, 2019
41 PACELLA PARK DR, RANDOLPH, MA 02368(781) 437-1381 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katherine J Ennis NPPES

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

KATHERINE J ENNIS (NPI 1255999124) is an individual mental health provider in Randolph, Massachusetts and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1255999124
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE J ENNIS
Location Address41 PACELLA PARK DRRandolph, MA 02368-1755
Mailing Address41 Pacella Park DrRandolph, MA 02368-1755 · (781) 437-1381
Phone(781) 437-1381
Sole ProprietorNo
Enumeration DateJune 5, 2019
✔ NPI 1255999124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
41 PACELLA PARK DR, Randolph, MA 02368
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Other Identifiers 1

Medicaid110026265EMA

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.

KAFUNDA BANKS
Counselor (Mental Health)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
RENE SCHWIESOW
Counselor (Mental Health)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
SACHA SHAW
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
AAHLIYANAH GONCALVES
Behavior Technician
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
KRISTA G CANON BCBA
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 437-1323
MADELINE MCKEEVER
Counselor (Mental Health)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
KAYLEIGH SULLIVAN
Behavior Technician
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
TYANA L ENGLISH-DANIEL
Behavior Technician
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400

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 Ennis's NPI number?

The NPI number for Katherine Ennis is 1255999124. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Katherine Ennis located?

Katherine Ennis practices at 41 Pacella Park Dr, Randolph, MA 02368. The listed phone number is (781) 437-1381.

What is Katherine Ennis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Katherine Ennis was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.