Individual provider Active NPI

David Procaccini, LMHC

  • Mental Health Counselor
  • Franklin, MA
National Provider Identifier
1104495472
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12391 Issued in MA
Practice address
233 W Central St Ste 3
Franklin, MA 02038-2194
Phone
(781) 742-4515
Fax
(508) 377-3752
NPI assigned
Jun 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12391 MA Primary

Addresses

Primary practice location

233 W Central St Ste 3
Franklin, MA 02038-2194

Mailing address

65 Holbrook St Ste 220
Norfolk, MA 02056-1850
Phone (781) 742-4515

Other practice location 1

65 Holbrook St Ste 220
Norfolk, MA 02056-1850
Phone (781) 742-4515

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
I20240117002078 MA Practitioner - Mental Health Counselor 9335591114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

872 Mass Ave
Suite 2 2
Cambridge, MA 02139-3072
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12391MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Counseling Services, Inc Mental Health CurrentSince Jun 27, 2021 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992

233 W Central St
Ste 3
Franklin, MA 02038
Phone (781) 742-4515

65 Holbrook St
Ste 220
Norfolk, MA 02056
Phone (781) 742-4515

Organizations & group practices 2

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1104495472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HOLBROOK ST STE 220",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561850",
            "telephone_number": "781-742-4515",
            "fax_number": "508-377-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W CENTRAL ST STE 3",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020382194",
            "telephone_number": "781-742-4515",
            "fax_number": "508-377-3752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Holbrook St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "MA",
            "postal_code": "020561850",
            "country_code": "US",
            "telephone_number": "781-742-4515",
            "fax_number": "508-377-3752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCACCINI",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MA

Sources for this page

Verify at the official NPI Registry.