Active NPI
Ephrat David, LMHC, MFT
- Mental Health Counselor
- Pittsfield, MA
National Provider Identifier
1114052156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6297
- Practice address
- 100 Wendell Ave
Suite 6
Pittsfield, MA 01201-6941 - Phone
- (413) 212-9192
- Fax
- (413) 274-3340
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6297 | MA | Primary |
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
100 Wendell Ave
Suite 6
Pittsfield, MA 01201-6941
Mailing address
100 Wendell Avenue
Suite 6
Pittsfield, MA 01201-1111
Phone (413) 212-9192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6297 | MA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1114052156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WENDELL AVENUE",
"address_2": "SUITE 6",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012011111",
"telephone_number": "413-212-9192",
"fax_number": "413-274-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WENDELL AVE",
"address_2": "SUITE 6",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016941",
"telephone_number": "413-212-9192",
"fax_number": "413-274-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "EPHRAT",
"name_prefix": "Mrs.",
"credential": "LMHC, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6297",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.