KENNA LYN VENTURA
NPI 1609366988
Counselor in Fitchburg, MA

Active since May 13, 2018PECOS EnrolledAccepts Medicare Assignment
111 COLUMBIA AVE, FITCHBURG, MA 01420(508) 740-1440 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenna Lyn Ventura NPPES

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

KENNA LYN VENTURA (NPI 1609366988) is an individual counselor in Fitchburg, Massachusetts and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Worcester, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609366988
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKENNA LYN VENTURA
Location Address111 COLUMBIA AVEFitchburg, MA 01420-7042
Mailing Address111 Columbia AveFitchburg, MA 01420-7042
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 13, 2018
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1609366988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
111 COLUMBIA AVE, Fitchburg, MA 01420

Other Names 1

Former Name (1)Kenna Lyn Tyrrell

Secondary Practice Location 1

Location 1411 Chandler StWorcester, MA 01602-3339 · Phone (508) 799-0688

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenna Lyn Ventura is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769826809
PECOS Enrollment IDI20240216002898
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 Reassignments

2

Medicare enrollment records show Kenna Ventura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
10-I ROESSLER ROAD, ARBOUR COUNSELING SERVICES
Woburn, MA 01801
  • Reassigned Medicare billing, Massachusetts enrollment
  • 145 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
30 TAUNTON GREEN, SUITE 5
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 689 clinicians in this Medicare group

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 3

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

Counselor (Mental Health)
111 COLUMBIA AVE
FITCHBURG, MA 01420
Social Worker (Clinical)
111 COLUMBIA AVE
FITCHBURG, MA 01420
Counselor
111 COLUMBIA AVE
FITCHBURG, MA 01420

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 Kenna Ventura's NPI number?

The NPI number for Kenna Ventura is 1609366988. It was assigned to this individual provider in the NPPES registry on May 13, 2018. The provider is also known as Kenna Lyn Tyrrell.

Where is Kenna Ventura located?

Kenna Ventura practices at 111 Columbia Ave, Fitchburg, MA 01420. The listed phone number is (508) 740-1440.

What is Kenna Ventura's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kenna Ventura enrolled in Medicare?

Yes. Kenna Ventura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kenna Ventura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenna Ventura reassigns Medicare benefits to 2 organizations: Hri Clinics, Inc. (Woburn, MA) and Northeast Health Services, LLC (Taunton, MA). Each 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 Kenna Ventura'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 Kenna Ventura was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.