Individual provider Active NPI

Stacey E Pimentel, M.A., LMHC

  • Mental Health Counselor
  • Walpole, MA
National Provider Identifier
1033430269
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8207 Issued in MA
Practice address
128 School St
Walpole, MA 02081
Phone
(978) 430-6373
Fax
(844) 750-6903
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 8207 MA Primary

Addresses

Primary practice location

128 School St
Walpole, MA 02081

Mailing address

PO Box 3255
Attleboro, MA 02703-0900
Phone (978) 430-6373

Other practice location 1

76 Church St
Suite 301
Whitinsville, MA 01588-1464
Phone (508) 234-4181 ext. 5077

Other practice location 2

17 Cocasset St
Foxboro, MA 02035-2948
Phone (978) 430-6373

Other practice location 3

210 N Main St
Sharon, MA 02067-1229
Phone (978) 430-6373

Other practice location 4

210 N Main St
Sharon, MA 02067-1229
Phone (978) 430-6373

Other names 1

  • Ms. Stacey E Bianchi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8207MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033430269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3255",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027030900",
            "telephone_number": "978-430-6373",
            "fax_number": "844-750-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SCHOOL ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "02081",
            "telephone_number": "978-430-6373",
            "fax_number": "844-750-6903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Church St",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Whitinsville",
            "state": "MA",
            "postal_code": "015881464",
            "country_code": "US",
            "telephone_number": "508-234-4181 x5077",
            "fax_number": "508-234-3944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Cocasset St",
            "address_purpose": "LOCATION",
            "city": "Foxboro",
            "state": "MA",
            "postal_code": "020352948",
            "country_code": "US",
            "telephone_number": "978-430-6373",
            "fax_number": "844-750-6903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sharon",
            "state": "MA",
            "postal_code": "020671229",
            "country_code": "US",
            "telephone_number": "978-430-6373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sharon",
            "state": "MA",
            "postal_code": "020671229",
            "country_code": "US",
            "telephone_number": "978-430-6373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "STACEY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BIANCHI",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "M.A., LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.