Individual provider Active NPI

Ingrid Agis, MS, MHC

  • Mental Health Counselor
  • Holyoke, MA
National Provider Identifier
1144564873
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
235 Maple St
Holyoke, MA 01040-5117
Phone
(413) 532-0389
Fax
(413) 532-0389
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Health Center Inc. 40 clinicians

Practice addresses (Care Compare)

230 Maple St
Holyoke, MA 01040-5144
Phone (413) 420-2200

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
I20240216001534 MA Practitioner - Mental Health Counselor 8628412723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Chicopee Health Center Pharmacy CurrentSince Jan 8, 2024 Accepting new patients
Holyoke Health Center Inc. CurrentSince Jan 8, 2024 Accepting new patients
Healing Action Current Accepting new patients
Behavioral Health Network, Inc Past Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients

Locations

505 Front St
Chicopee, MA 01013
Phone (413) 420-2222

230 Maple St
Holyoke, MA 01040
Phone (413) 322-7380

Interoperability endpoints

  • Direct secure messaging: iagis47015@direct.ctc.masshiway.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

235 Maple St
Holyoke, MA 01040-5117

Mailing address

235 Maple St
Holyoke, MA 01040-5117
Phone (413) 532-0389

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 26, 2015.

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1144564873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAPLE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405117",
            "telephone_number": "413-532-0389",
            "fax_number": "413-532-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAPLE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405117",
            "telephone_number": "413-532-0389",
            "fax_number": "413-532-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGIS",
        "first_name": "INGRID",
        "name_prefix": "Miss",
        "credential": "MS, MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.