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KATHRYN DOAN LICSW
NPI 1922332816
Counselor - Mental Health in Brockton, MA

Active since September 24, 2009PECOS Enrolled
103 COMMERCIAL ST, BROCKTON, MA 02302(508) 322-6567(508) 588-5751 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kathryn Doan Licsw NPPES

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

KATHRYN DOAN LICSW (NPI 1922332816) is an individual mental health provider in Brockton, Massachusetts and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922332816
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHRYN DOANCredential: LICSW
Location Address103 COMMERCIAL STBrockton, MA 02302-3133
Mailing Address103 Commercial StBrockton, MA 02302-3133 · (508) 232-6567 · Fax (508) 588-5751
Phone(508) 322-6567
Fax(508) 588-5751
Sole ProprietorNo
Enumeration DateSeptember 24, 2009
Last NPPES UpdateSeptember 30, 2019
✔ NPI 1922332816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
103 COMMERCIAL ST, Brockton, MA 02302
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Other Names 1

Former Name (1)Kathryn Wells

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Doan Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kathryn Doan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sb Transitional Sub, LLC
3.1 mi
Mental Health (Including Community Mental Health Center)
1115 W CHESTNUT ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 120 clinicians in this Medicare group
NPI 1962091173 (508) 521-2200

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 20

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

ELIZABETH LOVLEY
Counselor (Mental Health)
103 COMMERCIAL ST, 2ND FLOOR
BROCKTON, MA 02302
Plymouth County (508) 580-4691
CASSANDRA LEN
Counselor (Mental Health)
103 COMMERCIAL ST
BROCKTON, MA 02302
Plymouth County (603) 320-4485
REGINA TILLMAN-SMITH
Social Worker (Clinical)
103 COMMERCIAL ST
BROCKTON, MA 02302
Plymouth County (508) 580-4691
JAMIE L MOORE
Case Manager/Care Coordinator
103 COMMERCIAL ST
BROCKTON, MA 02302
Plymouth County (617) 935-5404
LAUREN DREAN MFT
Marriage & Family Therapist
103 COMMERCIAL ST
BROCKTON, MA 02302
Plymouth County (508) 580-4691
VICTORIA VIOLA
Counselor (Mental Health)
103 COMMERCIAL ST
BROCKTON, MA 02302
Plymouth County (508) 521-1020
CASSANDRA SIMON
Student in an Organized Health Care Education/Training Program
103 COMMERCIAL ST
BROCKTON, MA 02302
Plymouth County (508) 580-4691
SUSAN KORMAN
Counselor (Addiction (Substance Use Disorder))
103 COMMERCIAL ST
BROCKTON, MA 02302
Plymouth County (508) 521-1020

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 Doan's NPI number?

The NPI number for Kathryn Doan is 1922332816. It was assigned to this individual provider in the NPPES registry on September 24, 2009. The provider is also known as Kathryn Wells.

Where is Kathryn Doan located?

Kathryn Doan practices at 103 Commercial St, Brockton, MA 02302. The listed phone number is (508) 322-6567.

What is Kathryn Doan's specialty?

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

Is Kathryn Doan enrolled in Medicare?

Yes. Kathryn Doan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Doan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Doan reassigns Medicare benefits to Sb Transitional Sub, LLC (Brockton, 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 Kathryn Doan'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 Kathryn Doan was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.