Healthcare Provider Details

I. General information

NPI: 1093647596
Provider Name (Legal Business Name): KERSTEN CARBERRY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HIGH ST STE 205
NORTH ANDOVER MA
01845-2678
US

IV. Provider business mailing address

51 LOCUST ST
MERRIMAC MA
01860-1929
US

V. Phone/Fax

Practice location:
  • Phone: 978-382-1901
  • Fax:
Mailing address:
  • Phone: 978-382-1901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10001428
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: