Individual provider Active NPI

Orzenira Dias Debarros, LMHC

  • Counselor
  • Framingham, MA
National Provider Identifier
1063921989
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1740336858 Issued in MA
Practice address
118 Union Ave Ste 17
Framingham, MA 01702-8208
Phone
(508) 433-0384
NPI assigned
Sep 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1740336858 MA Primary

Addresses

Primary practice location

118 Union Ave Ste 17
Framingham, MA 01702-8208

Mailing address

118 Union Ave Ste 118
Framingham, MA 01702-8208
Phone (508) 433-0384

Other identifiers 1

IdentifierTypeStateIssuer
042389659MedicaidMA

Other names 1

  • Mrs. Orzenira Dias Debarros Former name

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
I20240131001042 MA Practitioner - Mental Health Counselor 7214380823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Middlesex Opportunity Council IncGroup PAC ID 7517916075, 13 clinicians

Practice addresses (Care Compare)

300 Howard St
Framingham, MA 01702-8353
Phone (508) 879-2250

7 Bishop St
Framingham, MA 01702-8323
Phone (508) 879-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1740336858MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Middlesex Opportunity Council Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

300 Howard St
Framingham, MA 01702
Phone (508) 879-2250

7 Bishop St
Framingham, MA 01702
Phone (508) 620-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1063921989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 UNION AVE STE 118",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028208",
            "telephone_number": "508-433-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 UNION AVE STE 17",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028208",
            "telephone_number": "508-433-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBARROS",
        "first_name": "ORZENIRA",
        "middle_name": "DIAS",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "1740336858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042389659",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ORZENIRA",
            "last_name": "DEBARROS",
            "middle_name": "DIAS",
            "prefix": "MRS.",
            "credential": "ORZENIRA DIAS GOMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.