Eneida Qirko

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

71 Cranbrook Dr
Holden, MA 01520-1474

Phone

(774) 207-8207

NPI assigned

Sep 17, 2010

Last updated

Dec 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

The Bridge of Central Massachusetts IncGroup PAC ID 1658694393, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Bridge of Central Massachusetts, Inc.

  dba Open Sky Community Services, Inc

  • Community/Behavioral Health Agency
  • Worcester, MA
  • NPI 1740657527

  Mental Health

  Medicare reassignment Care Compare group NPD
• Eneidaqirko, LLC

  • Mental Health Counselor
  • Holden, MA
  • NPI 1285326181
  NPD Authorized official
• The Bridge of Central Massachusetts, Inc

  • Foster Care Agency
  • Worcester, MA
  • NPI 1053746255
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1003124520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CRANBROOK DR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201474",
            "telephone_number": "774-207-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CRANBROOK DR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201474",
            "telephone_number": "774-207-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIRKO",
        "first_name": "ENEIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Pittman
• Play Grow Shine Speech Therapy
• Richard Prager
• Brittany Price, LICSW
• Psychotherapy With Emma, LLC
• Quest Diagnostics Massachusetts LLC
• Raffia Qutab, M.D.
• Radiant Health Chiropractor
• Madison Randall, DPT
• Reframed Counseling, Inc.

• Mental Health Counselor in Holden, MA
• Providers in Holden, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.