Individual provider Active NPI

Melissa Medeiros

  • Professional Counselor
  • Attleboro, MA
National Provider Identifier
1043532906
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
67 Mechanic St
Attleboro, MA 02703-2036
Phone
(508) 223-4691
NPI assigned
Feb 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

67 Mechanic St
Attleboro, MA 02703-2036

Mailing address

67 Mechanic St
Attleboro, MA 02703-2036
Phone (508) 223-4691

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
I20240402001554 MA Practitioner - Mental Health Counselor 6204274806 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9169MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Counseling Services, Inc CurrentSince Feb 12, 2024 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince May 12, 2025 Accepting new patients
South Bay Mental Health Center, Inc. Past Accepting new patients

Locations

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

233 W Central St
Ste 3
Franklin, MA 02038
Phone (781) 742-4515

65 Holbrook St
Ste 220
Norfolk, MA 02056
Phone (781) 742-4515

Organizations & group practices 3

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": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1043532906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MECHANIC ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032036",
            "telephone_number": "508-223-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MECHANIC ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032036",
            "telephone_number": "508-223-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.