Individual provider Active NPI

Cornelia Salone

  • Counselor
  • Athol, MA
National Provider Identifier
1033490594
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
491 Main St
Athol, MA 01331-1846
Phone
(978) 249-9490
Fax
(978) 249-9514
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

491 Main St
Athol, MA 01331-1846

Mailing address

491 Main St
Athol, MA 01331-1846
Phone (978) 249-9490

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
I20250722004289 MA Practitioner - Mental Health Counselor 9133635535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Behavioral Care of Mass LLCGroup PAC ID 8123530169, 49 clinicians
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

11 N St
Stoneham, MA 02180-1040
Phone (718) 506-1115

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Behavioral Care of Ma LLC CurrentSince Oct 1, 2025 Accepting new patients
Supportive Behavioral Care of Mass LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

2 Beaumont Ave
Brockton, MA 02302
Phone (508) 588-8500

11 North St
Stoneham, MA 02180
Phone (603) 759-4559

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1033490594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013311846",
            "telephone_number": "978-249-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013311846",
            "telephone_number": "978-249-9490",
            "fax_number": "978-249-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALONE",
        "first_name": "CORNELIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athol, MA

Sources for this page

Verify at the official NPI Registry.