KATELYN HENAULT – Mental Health Counselor, NPI 1669960084

KATELYN HENAULT is a healthcare provider. based in Norwood, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. PS02306 (RI). The NPI Number for KATELYN HENAULT is 1669960084

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN HENAULT
NPI
1669960084
Phone
(781) 769-8670
Address
190 Lenox St
Enumeration Date
1 May 2018
Last Update Date
14 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607886404152
Graduation Year
2022 (4 years ago)
PAC ID
7810425519
Group Practice PAC ID
4385053131
Professional Enrollment ID
I20250109003035
Address ID
RI028883855WA222XXBLVD301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for KATELYN HENAULT

  • 190 Lenox St

    Norwood, MA 020623416

    Phone: (781) 769-8670

    Type: Location

  • 249 CHESTNUT HILL AVE APT 23

    BRIGHTON, MA 021355931

    Phone: (401) 808-9654

    Type: Mailing

  • 745 Atlantic Ave Fl 8

    Boston, MA 021112735

    Phone: (888) 750-7768

    Type: Location

  • 190, Lenox Street, Norwood, Norfolk County, Massachusetts, 02062-3404, United States

    NORWOOD, MA 020623416

    Phone: (781) 769-8670

    Type: Location

  • 222 JEFFERSON BLVD

    WARWICK, RI 028883847

    Phone: (860) 788-6404

    Type: Location

  • PO BOX 1595

    MIDDLETOWN, CT 064578095

    Phone: (860) 788-6404

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250108003729IClinical PsychologistMATBD
I20250109003035IClinical PsychologistRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385053131View full group profile
NameSpecialtyState
Clinical Social WorkerRI
Nurse PractitionerCT
Clinical Social WorkerCT
Nurse PractitionerRI

Reviews

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Frequently asked questions

What is the standard ID for KATELYN HENAULT in the U.S.?
In the U.S., KATELYN HENAULT is identified by NPI 1669960084.
Is KATELYN HENAULT's NPI status active today?
Active status means KATELYN HENAULT's NPI record is not deactivated in the public file.
What services align with KATELYN HENAULT's listing?
KATELYN HENAULT's public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to KATELYN HENAULT?
KATELYN HENAULT shows a connection to Norwood, Massachusetts in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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