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MR. KEVIN C KETCHUM MS
NPI 1770605131
Counselor - Mental Health in Braintree, MA

Active since April 05, 2007PECOS EnrolledAccepts Medicare Assignment
639 GRANITE ST STE 310, BRAINTREE, MA 02184(617) 935-7748 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Kevin C Ketchum Ms NPPES

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

MR. KEVIN C KETCHUM MS (NPI 1770605131) is an individual mental health provider in Braintree, Massachusetts and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1770605131
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KEVIN C KETCHUMCredential: MS
Location Address639 GRANITE ST STE 310Braintree, MA 02184-5370
Mailing Address267 Neck St # Uc5North Weymouth, MA 02191-1939 · (617) 935-7748
Phone(617) 935-7748
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 5, 2007
Last NPPES UpdateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1770605131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
639 GRANITE ST STE 310, Braintree, MA 02184
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Mr. Kevin C Ketchum Ms 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 ID1153867049
PECOS Enrollment IDI20240727000321
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 Kevin Ketchum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nova Psychiatric Services, PC
2.4 mi
Community/Behavioral Health
234 COPELAND STREET STE 320
Quincy, MA 02169
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Nova Psychiatric Services, P.C
  • 15 clinicians in this Medicare group
NPI 1881782522 (617) 479-4545

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
204 services31 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
82 services17 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
75 services17 patients

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 Kevin Ketchum's NPI number?

The NPI number for Kevin Ketchum is 1770605131. It was assigned to this individual provider in the NPPES registry on April 5, 2007.

Where is Kevin Ketchum located?

Kevin Ketchum practices at 639 Granite St Ste 310, Braintree, MA 02184. The listed phone number is (617) 935-7748.

What is Kevin Ketchum's specialty?

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

Is Kevin Ketchum enrolled in Medicare?

Yes. Kevin Ketchum 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 organization bills Medicare for Kevin Ketchum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Ketchum reassigns Medicare benefits to Nova Psychiatric Services, PC (Quincy, 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 Kevin Ketchum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Ketchum accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kevin Ketchum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Ketchum was last updated on December 7, 2022. 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.