EASTERN PSYCHOTHERAPY AND CONSULTING PC
NPI 1467139584
Counselor - Mental Health in Brewster, MA

Active since June 30, 2023
53 TWINTURN DR, BREWSTER, MA 02631(508) 776-1617 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Eastern Psychotherapy And Consulting Pc NPPES

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

EASTERN PSYCHOTHERAPY AND CONSULTING PC (NPI 1467139584) is a healthcare organization registered as a mental health in Brewster, Massachusetts and active in the NPI registry since June 2023. The organization lists Kelly Kirkbride, Owner, as its authorized official.

NPPES Registry Identity

NPI1467139584
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEASTERN PSYCHOTHERAPY AND CONSULTING PC
Location Address53 TWINTURN DRBrewster, MA 02631-2846
Mailing AddressPo Box 413Brewster, MA 02631-0413 · (508) 776-1617
Organization SubpartNo
Authorized OfficialKelly KirkbrideOwner · (508) 776-1617
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1467139584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
53 TWINTURN DR, Brewster, MA 02631

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Psychotherapy And Consulting Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastern Psychotherapy And Consulting PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1548695612
200 TER HEUN DR
Falmouth, MA 02540
(508) 563-2262
✔ PECOS32 mi

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

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 Eastern Psychotherapy And Consulting PC's NPI number?

The NPI number for Eastern Psychotherapy And Consulting PC is 1467139584. It was assigned to this organization in the NPPES registry on June 30, 2023.

Where is Eastern Psychotherapy And Consulting PC located?

Eastern Psychotherapy And Consulting PC is located at 53 Twinturn Dr, Brewster, MA 02631. The listed phone number is (508) 776-1617.

What is Eastern Psychotherapy And Consulting PC's specialty?

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

Is Eastern Psychotherapy And Consulting PC enrolled in Medicare?

Yes. Eastern Psychotherapy And Consulting PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Psychotherapy And Consulting PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Eastern Psychotherapy And Consulting PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Psychotherapy And Consulting PC was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.