Individual provider Active NPI

Tom Nields-Duffy, MA

  • Mental Health Counselor
  • Northampton, MA
National Provider Identifier
1023165131
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7668 Issued in MA
Practice address
31 Trumbull Rd Unit B
Northampton, MA 01060-3036
Phone
(413) 237-0134
NPI assigned
Jan 4, 2007
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7668 MA Primary

Addresses

Primary practice location

31 Trumbull Rd Unit B
Northampton, MA 01060-3036

Mailing address

31 Trumbull Rd Unit B
Northampton, MA 01060-3036
Phone (413) 237-0134

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240906000362 MA Practitioner - Mental Health Counselor 0244770154 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

31 Trumbull Rd
Suite 108
Northampton, MA 01060-3093
Phone (413) 237-0134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7668MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1023165131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TRUMBULL RD UNIT B",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603036",
            "telephone_number": "413-237-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TRUMBULL RD UNIT B",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603036",
            "telephone_number": "413-237-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELDS-DUFFY",
        "first_name": "TOM",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.