Individual provider Active NPI

Courtney Francesca Rubio, LMHC

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1184865735
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9975 Issued in MA
Practice address
108 Belmont St
Worcester, MA 01605-4902
Phone
(508) 612-4230
Fax
(508) 767-3095
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 9975 MA Primary

Addresses

Primary practice location

108 Belmont St
Worcester, MA 01605-4902

Mailing address

108 Belmont St
Worcester, MA 01605-4902
Phone (508) 612-4230

Other practice location 1

34 Newbury St
Apartment #3
Worcester, MA 01609-2064
Phone (513) 884-5343

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
I20241004001053 MA Practitioner - Mental Health Counselor 4688105323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9975MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Systems, Inc CurrentSince Aug 19, 2024 Accepting new patients
Spectrum Health Systems Inc CurrentSince Aug 19, 2024 Accepting new patients
Revidas LLC Mental Health Past Accepting new patients

Locations

149 Oak St
Westborough, MA 01581

10 Mechanic St
Ste 302
Worcester, MA 01608
Phone (508) 792-5400

585 Lincoln St
Worcester, MA 01605
Phone (508) 831-0045

Organizations & group practices 3

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": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1184865735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016054902",
            "telephone_number": "508-612-4230",
            "fax_number": "508-767-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016054902",
            "telephone_number": "508-612-4230",
            "fax_number": "508-767-3095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Newbury St",
            "address_2": "Apartment #3",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016092064",
            "country_code": "US",
            "telephone_number": "513-884-5343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "COURTNEY",
        "middle_name": "FRANCESCA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.