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

Mr. Kevin C Ketchum, MS

Individual provider Mental Health Counselor · NPI 1770605131

Mr. Kevin C Ketchum, MS is a Mental Health Counselor in Braintree, Massachusetts. Qualified in 2012, 14 years ago. Practices with Nova Psychiatric Services, PC, a 17-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
14
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

639 Granite St Ste 310
Braintree, MA 02184-5370
Phone: (617) 935-7748
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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 number1770605131
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorNo
NPI enumeratedApril 5, 2007
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Nova Psychiatric Services, P.C — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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