Individual provider Active NPI

Shayna Elizabeth Gatautis, LMHC

  • Mental Health Counselor
  • Hopkinton, MA
National Provider Identifier
1063752996
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10477 Issued in MA
Practice address
77 Main St Ste 2
Hopkinton, MA 01748-1193
Phone
(508) 589-5333
Fax
(774) 250-2693
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 10477 MA Primary

Addresses

Primary practice location

77 Main St Ste 2
Hopkinton, MA 01748-1193

Mailing address

8 Rock Pond Ave
Georgetown, MA 01833-1416
Phone (207) 475-6575

Other practice location 1

1800 Mendon Rd Ste E575
Cumberland, RI 02864-4391
Phone (508) 589-5333

Other practice location 2

1 Clarks Hl Ste 302
Framingham, MA 01702-8172
Phone (508) 589-5333

Other practice location 3

20 Cabot Blvd Ste 227
Mansfield, MA 02048-1183
Phone (508) 589-5333

Other practice location 4

57 Wingate St
Haverhill, MA 01832-5759
Phone (978) 241-4908

Other names 1

  • Shayna Elizabeth Ross 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

State licenses

LicenseStateTypeSpecialty
10477MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vendetti Wellness Group, PC CurrentSince May 11, 2019 Accepting new patients
Nova Initia Counseling, LLC Mental Health Past Accepting new patients

Locations

1 Clarks Hl
Ste 302
Framingham, MA 01702
Phone (508) 589-5333

77 Main St
Ste 2
Hopkinton, MA 01748
Phone (508) 589-5333

20 Cabot Blvd
Ste 227
Mansfield, MA 02048
Phone (508) 589-5333

1800 Mendon Rd
Ste E575
Cumberland, RI 02864
Phone (508) 589-5333

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": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1063752996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ROCK POND AVE",
            "city": "GEORGETOWN",
            "state": "MA",
            "postal_code": "018331416",
            "telephone_number": "207-475-6575",
            "fax_number": "774-250-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN ST STE 2",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481193",
            "telephone_number": "508-589-5333",
            "fax_number": "774-250-2693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Mendon Rd Ste E575",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028644391",
            "country_code": "US",
            "telephone_number": "508-589-5333",
            "fax_number": "774-250-2693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Clarks Hl Ste 302",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017028172",
            "country_code": "US",
            "telephone_number": "508-589-5333",
            "fax_number": "774-250-2693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Cabot Blvd Ste 227",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "MA",
            "postal_code": "020481183",
            "country_code": "US",
            "telephone_number": "508-589-5333",
            "fax_number": "774-250-2693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Wingate St",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018325759",
            "country_code": "US",
            "telephone_number": "978-241-4908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATAUTIS",
        "first_name": "SHAYNA",
        "middle_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYNA",
            "last_name": "ROSS",
            "middle_name": "ELIZABETH",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopkinton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.