Active NPI
Tanya Christine Ross
- Mental Health Counselor
- Brockton, MA
National Provider Identifier
1093153249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 231 Main St
Suite 300
Brockton, MA 02301-4342 - Phone
- (508) 586-2660
- Fax
- (508) 427-1505
- NPI assigned
- Jun 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
231 Main St
Suite 300
Brockton, MA 02301-4342
Mailing address
231 Main St
Suite 300
Brockton, MA 02301-4342
Phone (508) 586-2660
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelley Costello, LMFT, Inc. | Mental Health | Past | Accepting new patients |
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": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1093153249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 MAIN ST",
"address_2": "SUITE 300",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014342",
"telephone_number": "508-586-2660",
"fax_number": "508-427-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 MAIN ST",
"address_2": "SUITE 300",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014342",
"telephone_number": "508-586-2660",
"fax_number": "508-427-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "TANYA",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-10",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.