Active NPI
Sara Stodulski
- Mental Health Counselor
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 130 Maple St Ste 325
Springfield, MA 01103-2215 - Phone
- (413) 737-9544
- NPI assigned
- Jun 20, 2009
- Last updated
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
130 Maple St Ste 325
Springfield, MA 01103-2215
Mailing address
111 Federal St
Greenfield, MA 01301-2501
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Arch PL
Greenfield, MA 01301-2457
Phone (413) 774-1000
1 Federal St
BLDG 102 3
Springfield, MA 01105-2390
Phone (413) 737-9544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical & Support Options, Inc | Current | Accepting new patients |
Locations
1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000
130 Maple St
Ste 325
Springfield, MA 01103
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Greenfield, MA
- NPI 1831265115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1043447766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FEDERAL ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAPLE ST STE 325",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032215",
"telephone_number": "413-737-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODULSKI",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-20",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.