Active NPI
Carol Ann Prefontaine, LMHC
- Counselor
- New Bedford, MA
National Provider Identifier
1093165797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5644
- Practice address
- 68 North Front St.
New Bedford, MA 02740 - Phone
- (508) 717-0550
- NPI assigned
- Jun 14, 2016
- Last updated
- Jun 14, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5644 | MA | Primary |
Addresses
Primary practice location
68 North Front St.
New Bedford, MA 02740
Mailing address
145 Rochambeau St.
New Bedford, MA 02745
Phone (508) 498-2915
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5644 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1093165797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 ROCHAMBEAU ST.",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02745",
"telephone_number": "508-498-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 NORTH FRONT ST.",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02740",
"telephone_number": "508-717-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREFONTAINE",
"first_name": "CAROL ANN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "5644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.