KATHRYN ELIZABETH FACKINA MA
NPI 1417462169
Counselor - Mental Health in South Boston, MA
About Kathryn Elizabeth Fackina Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN ELIZABETH FACKINA MA (NPI 1417462169) is an individual mental health provider in South Boston, Massachusetts and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathryn Elizabeth Fackina Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BOSTON, MA 02127
SOUTH BOSTON, MA 02127
SOUTH BOSTON, MA 02127
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 Kathryn Fackina's NPI number?
The NPI number for Kathryn Fackina is 1417462169. It was assigned to this individual provider in the NPPES registry on December 4, 2017.
Where is Kathryn Fackina located?
Kathryn Fackina practices at 210 Old Colony Ave, South Boston, MA 02127. The listed phone number is (617) 268-5000.
What is Kathryn Fackina's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kathryn Fackina enrolled in Medicare?
Yes. Kathryn Fackina is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kathryn Fackina was last updated on December 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kathryn Elizabeth Fackina, MA · NPI 1417462169
Mental Health provider in South Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since December 4, 2017.
## Identity
- **NPI:** 1417462169 (Entity type: Individual)
- **Enumerated:** December 4, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 210 OLD COLONY AVE, South Boston, MA 02127-2413
- **Phone:** (617) 268-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 4, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1417462169) · Data from the CMS NPPES public registry.