Active NPI
Friends and Mentors Inc
- Counselor
- Brockton, MA
National Provider Identifier
1063010056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- FRIENDS AND MENTORS INC
- Practice address
- 209 Quincy St
Brockton, MA 02302-2926 - Phone
- (508) 846-9623
- NPI assigned
- Oct 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Monteiro, MED
- Title
- Executive Director
- Phone
- (774) 422-9200
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| School Counselor | 101YS0200X | |||
| Social Worker | 104100000X | |||
| General Practice Physician | 208D00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
209 Quincy St
Brockton, MA 02302-2926
Mailing address
209 Quincy St
Brockton, MA 02302-2926
Phone (508) 846-9623
National Provider Directory
National Provider DirectoryLocations
647 Main St
Brockton, MA 02301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721779200000",
"number": "1063010056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 QUINCY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022926",
"telephone_number": "508-846-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 QUINCY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022926",
"telephone_number": "508-846-9623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDS AND MENTORS INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-13",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A",
"authorized_official_last_name": "MONTEIRO",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "774-422-9200",
"authorized_official_credential": "MED"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.