NPIMap

Organization Active NPI

Baystate Mental Health Counseling

  • Mental Health Counselor
  • Longmeadow, MA
National Provider Identifier
1083216626
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BAYSTATE MENTAL HEALTH COUNSELING
Practice address
175 Dwight Rd
Longmeadow, MA 01106-1576
Phone
(978) 886-7564
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Matthew RileyNPI 1518333012
Title
LMHC
Phone
(978) 886-7564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

175 Dwight Rd
Longmeadow, MA 01106-1576

Mailing address

175 Dwight Rd
Longmeadow, MA 01106-1576
Phone (978) 886-7564

National Provider Directory

National Provider Directory

Locations

175 Dwight Rd
Longmeadow, MA 01106
Phone (413) 237-9010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1083216626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 DWIGHT RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061576",
            "telephone_number": "978-886-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DWIGHT RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061576",
            "telephone_number": "978-886-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "978-886-7564"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.