Individual provider Active NPI

Betty Y Deangelis, LICSW

  • Mental Health Counselor
  • Springfield, MA
National Provider Identifier
1073769238
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LICSW117802 Issued in MA
Practice address
300 Carew Street
Springfield, MA 01104
Phone
(413) 794-5555
Fax
(413) 794-7416
NPI assigned
Aug 7, 2008
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X LICSW117802 MA Primary

Addresses

Primary practice location

300 Carew Street
Springfield, MA 01104

Mailing address

280 Chestnut Street
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-3909

Other practice location 1

417 Liberty St
Springfield, MA 01104-3736
Phone (413) 736-3668

Other practice location 2

3300 Main St
4th Floor
Springfield, MA 01107-1112
Phone (413) 794-5555

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
I20140303001384 MA Practitioner - Clinical Social Worker 9638309164 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW117802MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc CurrentSince Dec 9, 2024 Accepting new patients
Servicenet Inc CurrentSince Jan 29, 2024 Accepting new patients
Alban Healing Counseling LLC Current Accepting new patients

Locations

55 Federal St
Greenfield, MA 01301
Phone (413) 772-2935

21 Olander Dr
Northampton, MA 01060
Phone (413) 442-4003

50 Pleasant St
Northampton, MA 01060
Phone (413) 585-1300

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

300 Carew St
Springfield, MA 01104
Phone (413) 794-5555

3300 Main St
Fl 4
Springfield, MA 01107
Phone (413) 794-5555

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1073769238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-3909",
            "fax_number": "413-794-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CAREW STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-794-5555",
            "fax_number": "413-794-7416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011043736",
            "country_code": "US",
            "telephone_number": "413-736-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Main St",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071112",
            "country_code": "US",
            "telephone_number": "413-794-5555",
            "fax_number": "413-794-7140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "BETTY",
        "middle_name": "Y",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LICSW117802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.