Ms Katelin Anne Coughlin, LMHC in Southbridge, MA

Ms Katelin Anne Coughlin, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Southbridge, Massachusetts. Her current practice location is 328 Main St Ste 1, Southbridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 519-3523.

Ms Katelin Anne Coughlin is licensed to practice in Massachusetts (license number 13506) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790203438.

Contact Information

	Ms Katelin Anne Coughlin, LMHC
	328 Main St Ste 1, Southbridge, MA 01550-3795
	(508) 519-3523
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Katelin Anne Coughlin
Gender	Female
Speciality	Counselor - Mental Health
Location	328 Main St Ste 1, Southbridge, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790203438
Provider Enumeration Date: 09/01/2017
Last Update Date: 11/11/2022

Medicare PECOS Information:

PECOS PAC ID: 1456875954
Enrollment ID: I20250407000603

Medical Identifiers

Medical identifiers for Ms Katelin Anne Coughlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790203438	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	13506 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Katelin Anne Coughlin allows following entities to bill medicare on her behalf.

Entity Name	Youth Opportunities Upheld Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245317205 PECOS PAC ID: 9638190374 Enrollment ID: O20051209000469

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Katelin Anne Coughlin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Katelin Anne Coughlin, LMHC 328 Main St Ste 1, Southbridge, MA 01550-3795 Ph: (508) 519-3523	Ms Katelin Anne Coughlin, LMHC 328 Main St Ste 1, Southbridge, MA 01550-3795 Ph: (508) 519-3523

Reviews and Comments

Counselor in Southbridge, MA

Mr. Dominic Idoko, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-765-3147
Courtney Sturgis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 176 Main St, Southbridge, MA 01550 Phone: 508-756-1292 Fax: 508-753-5051
Shannon Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 Main St, Southbridge, MA 01550 Phone: 774-276-5247
Tammy Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-764-2434
Jochebed Brochu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 Main St, Southbridge, MA 01550 Phone: 508-765-9101
Mr. Nathanael Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 Main St Apt #1, Southbridge, MA 01550 Phone: 508-765-9101
Mr. Marc L Bonin, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771

Ms Katelin Anne Coughlin, LMHC - Medicare Counselor in Southbridge, MA