KENDALL F BACON MSW NPI 1558344523

NPI Information

  • NPI: 1558344523
  • Provider Name: KENDALL F BACON, MSW
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 915 SOUTH ST
    FITCHBURG, MA
    ZIP 01420
  • Phone: (978) 345-4147

Map and Directions

Get Directions

NPI Details

Kendall F Bacon, MSW is a marriage family therapist in Fitchburg, MA with 58 years of experience. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Kendall F Bacon, MSW NPI is 1558344523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

915 SOUTH ST
FITCHBURG, MA
ZIP 01420
Phone: (978) 345-4147
Fax: (978) 345-1616

The NPI 1558344523 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health105716MASSACHUSETTSNo
2104100000XSocial Worker105716MASSACHUSETTSNo
3106H00000XMarriage & Family Therapist105716MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1127184OTHERTRICARE
2P07079OTHERMASSACHUSETTSBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI