MR. SEAN R MCKINNON M.ED
NPI 1457410219
Counselor - Mental Health in North Andover, MA

Q: What is Sean Mckinnon's NPI number?

The NPI number for Sean Mckinnon is 1457410219. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Q: What is Sean Mckinnon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Mckinnon was last updated on May 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 07, 2006PECOS Enrolled

857 TURNPIKE ST, SUITE 136, NORTH ANDOVER, MA 01845(603) 212-9109 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mr. Sean R Mckinnon M.ed NPPES

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

MR. SEAN R MCKINNON M.ED (NPI 1457410219) is an individual mental health provider in North Andover, Massachusetts, licensed in Massachusetts (6513) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1457410219

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. SEAN R MCKINNONCredential: M.ED

Location Address857 TURNPIKE ST, SUITE 136North Andover, MA 01845-6140

Mailing Address50 Grove St, Building #2Salem, MA 01970-2263

Phone(603) 212-9109

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateDecember 7, 2006

Last NPPES UpdateMay 13, 2010

✔ NPI 1457410219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MA · 6513

857 TURNPIKE ST, North Andover, MA 01845

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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 (PECOS)

Mr. Sean R Mckinnon M.ed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951874080

PECOS Enrollment IDI20260622000148

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 Reassignment

Medicare enrollment records show Sean Mckinnon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eliot Community Human Services

16 mi

Mental Health (Including Community Mental Health Center)

125 HARTWELL AVE
Lexington, MA 02421

Reassigned Medicare billing, Massachusetts enrollment
167 clinicians in this Medicare group

NPI 1932271632 (781) 861-0890

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

Other Providers at the Same Location NPPES 5

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

MRS. RENEE MARIE KAIN MACP, LMHC

Counselor (Mental Health)

857 TURNPIKE ST, SUITE 136
NORTH ANDOVER, MA 01845

Essex County (978) 686-2900

PIER TALBOT MSW, LICSW

Social Worker (Clinical)

857 TURNPIKE ST, SUITE 136
NORTH ANDOVER, MA 01845

Essex County (978) 686-2900

MR. FRANK R SOARES MA LMHC

Counselor (Mental Health)

857 TURNPIKE ST, SUITE 136
NORTH ANDOVER, MA 01845

Essex County (978) 686-2900

MS. JANICE L. ZINK LICSW

Social Worker (Clinical)

857 TURNPIKE ST
NORTH ANDOVER, MA 01845

Essex County (978) 686-2900

WILLOWS ASSOCIATES PSYCHOLOGICAL & COUNSELING SERVICES INC

Counselor (Addiction (Substance Use Disorder))

857 TURNPIKE ST, STE 136
NORTH ANDOVER, MA 01845

Essex County (978) 686-2900

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 Sean Mckinnon's NPI number?

The NPI number for Sean Mckinnon is 1457410219. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Sean Mckinnon located?

Sean Mckinnon practices at 857 Turnpike St Suite 136, North Andover, MA 01845. The listed phone number is (603) 212-9109.

What is Sean Mckinnon's specialty?

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

Is Sean Mckinnon enrolled in Medicare?

Yes. Sean Mckinnon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sean Mckinnon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Mckinnon reassigns Medicare benefits to Eliot Community Human Services (Lexington, MA). The 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 Sean Mckinnon'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 Sean Mckinnon was last updated on May 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.