NPIMap

Organization Active NPI

Arcana Mental Health LLC

  • Mental Health Counselor
  • Lakeville, MA
National Provider Identifier
1003572736
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ARCANA MENTAL HEALTH LLC
Practice address
20 Riverside Dr Ste 102
Lakeville, MA 02347-1699
Phone
(508) 573-4844
Fax
(508) 573-4833
NPI assigned
Nov 17, 2021
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Allison FossellaNPI 1073825964
Title
Co-Owner
Phone
(508) 573-4844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

20 Riverside Dr Ste 102
Lakeville, MA 02347-1699

Mailing address

20 Riverside Dr Ste 102
Lakeville, MA 02347-1699
Phone (508) 573-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309000156 MA Part B Supplier - Clinic/Group Practice 6305230384 Receives reassigned benefits from 10 practitioners
Practice locations: Lakeville, MA

National Provider Directory

National Provider Directory

Locations

10 Riverside Dr
Ste 204
Lakeville, MA 02347
Phone (508) 573-4844

20 Riverside Dr
Ste 102
Lakeville, MA 02347
Phone (508) 573-4844

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1003572736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RIVERSIDE DR STE 102",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471699",
            "telephone_number": "508-573-4844",
            "fax_number": "508-573-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RIVERSIDE DR STE 102",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471699",
            "telephone_number": "508-573-4844",
            "fax_number": "508-573-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCANA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "FOSSELLA",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "508-573-4844"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.