MEDICARE: MR. KENNETH PAUL BARRINGER LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	343	MA

General Provider Information

NPI Number	:	1144229444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KENNETH PAUL BARRINGER LMHC

Provider Business Mailing Address
First Line	:	30 CIMINO RD
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-1937
Country	:	US
Telephone Number	:	781-444-0251
Fax Number	:	617-244-4906

Provider Business Practice Location Address
First Line	:	THE ACADEMY 425 R WATERTOWN ST.
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02458-1113
Country	:	US
Telephone Number	:	617-969-2200
Fax Number	:	617-244-4906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/08/2007

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