Shawn Blagden
Individual provider Active NPI Mental Health Counselor · Wareham, MA
NPI 1063949832 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1063949832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1 Twins Beach LN
Wareham, MA 02571 - Phone
- (508) 742-5194
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 Post N Rail Ave
Plymouth, MA 02360-1929
Phone (508) 742-5194
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213004527 | MA | Practitioner - Mental Health Counselor | 6103260518 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity and Ease Counseling, LLC | Mental Health | Current |
Accepting new patients |
| Maron Dga PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1 Twins Beach LN
Wareham, MA 02571
Mailing address
1 Twins Beach LN
Wareham, MA 02571
Other providers in Wareham, MA
- Andrea Marie Benson
- Colleen Marie Berg
- Sarah Bick
- Lisa M. Billings
- Bio-Medical Applications of Massachusetts, Inc.
- Faith Blair
- Wendy Frances Bone
- Madison K Borge
- Boston Rehabilitation Center
- Laura Jean Bowden
All providers in Wareham, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.