Golden Years Behavioral Health Group Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

GOLDEN YEARS BEHAVIORAL HEALTH GROUP INC.

Practice address

16 Shaker Road
East Longmeadow, MA 01028

Phone

(413) 209-8208

Fax

(413) 287-9737

NPI assigned

Apr 15, 2020

Last updated

Jun 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tracy L Mineo, LADCINPI 1245489624

Title

Executive Vice President

Phone

(413) 224-2015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Ann Hernandez

  • Clinical Social Worker
  • Springfield, MA
  • NPI 1851854285
  Medicare reassignment NPD
• E. Brigid McBride

  • Clinical Social Worker
  • West Springfield, MA
  • NPI 1528318789
  Medicare reassignment NPD
• Kristy Navarro

  • Mental Health Counselor
  • Springfield, MA
  • NPI 1922488782
  Medicare reassignment NPD
• Sara Marie Rivet, LICSW

  • Clinical Social Worker
  • West Springfield, MA
  • NPI 1356432751
  Medicare reassignment NPD
• Amy Weiswasser

  • Counselor
  • Northampton, MA
  • NPI 1093115172
  Medicare reassignment NPD
• Tracy Mineo

  • Addiction (Substance Use Disorder) Counselor
  • East Longmeadow, MA
  • NPI 1245489624
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1174142509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SHAKER ROAD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-224-2015",
            "fax_number": "413-183-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SHAKER ROAD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-209-8208",
            "fax_number": "413-287-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS BEHAVIORAL HEALTH GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "MINEO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "413-224-2015",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LADCI"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lundgren Garcia, AU.D.
• Russell Garrison, PT
• Emily Gemme
• Allison Anne Giddings, DPT
• Mary Elizabeth Ginn, P.T.A.
• Golden Years Behavioral Health Group Inc.
• Golden Years Home Care Services of Massachusetts
• Golden Years Home Health Care Services, Inc.
• Tanesha Gordon
• Liza Gowing

• Addiction (Substance Use Disorder) Counselor in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.