NPIMap

Organization Active NPI

Latino Counseling Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
National Provider Identifier
1013577642
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LATINO COUNSELING CENTER, INC
Practice address
121 State St Ste 100
Springfield, MA 01103-1986
Phone
(413) 301-7797
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Maria Silva
Title
Coo
Phone
(413) 612-8248

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

121 State St Ste 100
Springfield, MA 01103-1986

Mailing address

121 Street Street
Suite 100
Springfield, MA 01103
Phone (413) 301-7797

Other practice location 1

1777 Dwight St
Springfield, MA 01107-1851
Phone (413) 301-7797

Other names 1

  • Latino Counseling Center Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.latinocounselingcenter.org/contact Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200505000076 MA Part B Supplier - Clinic/Group Practice 9931530110 Receives reassigned benefits from 4 practitioners
Practice locations: Springfield, MA

National Provider Directory

National Provider Directory

Locations

121 State St
Springfield, MA 01103
Phone (413) 301-7797

121 State St
Ste 100
Springfield, MA 01103
Phone (413) 301-7797

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1013577642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 STREET STREET",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01103",
            "telephone_number": "413-301-7797",
            "fax_number": "413-301-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 STATE ST STE 100",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031986",
            "telephone_number": "413-301-7797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Dwight St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071851",
            "country_code": "US",
            "telephone_number": "413-301-7797",
            "fax_number": "413-301-7896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LATINO COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "413-612-8248"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.latinocounselingcenter.org/contact",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://www.latinocounselingcenter.org/contact",
            "address_1": "125 Liberty St",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011031114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Latino Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Latino Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.