Active NPIIndividual providerSole proprietor

Kirill B Tretiakov, LMHC

Counselor, Mental Health in Andover, Massachusetts

NPI Number1588481253
Practice location
Po Box 5153, Andover, MA 01810-0821
Fax
—
Last updated
September 24, 2024

Kirill B Tretiakov is a Counselor, Mental Health based in Andover, MA. Kirill B Tretiakov practices in Andover, MA and has the professional credentials of LMHC. The NPI Number for Kirill B Tretiakov is 1588481253 and holds a License No. LMHC10002295 (MA). The current practice location address for Kirill B Tretiakov is Po Box 5153, Andover, MA 01810-0821 and can be reached out via phone at 617-329-9177.

Provider Profile Details

NPI Number
1588481253
Provider Name
Kirill B Tretiakov
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
Po Box 5153, Andover, MA 01810-0821
Phone Number
617-329-9177
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 24, 2024
Last Update Date
September 24, 2024
Certification Date
September 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Po Box 5153
Andover, MA 01810-0821
Zip
01810-0821
Phone Number
617-329-9177
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
Po Box 5153
Andover, MA 01810-0821
City
Andover
State
MA
Zip
01810-0821
Phone Number
617-329-9177

License Information

License Number
LMHC10002295
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kirill B Tretiakov, LMHC?

The NPI number of Kirill B Tretiakov, LMHC is 1588481253. It was assigned on September 24, 2024 and is currently active in the NPPES registry.

What is the specialty of Kirill B Tretiakov, LMHC?

Kirill B Tretiakov, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number LMHC10002295.

Where does Kirill B Tretiakov, LMHC practice?

The practice location is Po Box 5153, Andover, MA 01810-0821. The office can be reached at 617-329-9177 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588481253 directly on the NPPES registry website.

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