Individual provider Active NPI

Joan Carolyn Robin, MA LMHC CRC LRC CH

  • Mental Health Counselor
  • Blackstone, MA
National Provider Identifier
1225129885
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
592 Issued in MA
Practice address
61 Main St
Blackstone, MA 01504
Phone
(508) 883-4673
Fax
(508) 883-0401
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 31 MA
Mental Health Counselor 101YM0800X 592 MA Primary

Addresses

Primary practice location

61 Main St
Blackstone, MA 01504

Mailing address

135 Mendon St
Blackstone, MA 01504
Phone (508) 883-4673

Other identifiers 7

IdentifierTypeStateIssuer
2205191OtherMACIGNA
776776000OtherMAMAGELLAN
118204OtherVALUE OPTIONS
118204OtherTRI CARE
180909OtherMAMHN
LM0025OtherMABCBS
1895109MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
592MAMDMental Health Counselor
31MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1225129885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MENDON ST",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "01504",
            "telephone_number": "508-883-4673",
            "fax_number": "508-883-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "01504",
            "telephone_number": "508-883-4673",
            "fax_number": "508-883-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIN",
        "first_name": "JOAN",
        "middle_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "MA LMHC CRC LRC CH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "MA",
            "license": "31",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2205191",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "776776000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "118204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI CARE",
            "identifier": "118204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "180909",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "LM0025",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1895109",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackstone, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.