Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn Elizabeth Fackina, MA

Individual provider Mental Health Counselor · NPI 1417462169

Kathryn Elizabeth Fackina, MA is a Mental Health Counselor in South Boston, Massachusetts. Qualified in 2017, 9 years ago. Practices as a sole proprietor.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

210 Old Colony Ave
South Boston, MA 02127-2413
Phone: (617) 268-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1417462169
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedDecember 4, 2017
Last updated in NPPESDecember 4, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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