Healthcare Provider Details

I. General information

NPI: 1215847157
Provider Name (Legal Business Name): KIMBERLEE KAIN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 LOGANBERRY DR
ABINGTON MA
02351-2910
US

IV. Provider business mailing address

104 LOGANBERRY DR
ABINGTON MA
02351-2910
US

V. Phone/Fax

Practice location:
  • Phone: 781-635-6711
  • Fax:
Mailing address:
  • Phone: 781-635-6711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLEE N KAIN
Title or Position: LMHC
Credential:
Phone: 781-236-3143