Individual provider Active NPI

Paula J Joaquin

  • Mental Health Counselor
  • Attleboro, MA
National Provider Identifier
1225693336
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
140 Park St Ste 3
Attleboro, MA 02703-8048
Phone
(508) 212-3603
Fax
(508) 695-0345
NPI assigned
May 3, 2019
Last updated
May 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

140 Park St Ste 3
Attleboro, MA 02703-8048

Mailing address

95 Pleasant St
N/a
Plainville, MA 02762-1900
Phone (508) 212-3603

Other practice location 1

140 Park St Ste 3
Attleboro, MA 02703-8048
Phone (508) 212-3603

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
I20240927000321 MA Practitioner - Clinical Social Worker 2860923190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4199 Washington St
Roslindale, MA 02131-1733
Phone (617) 323-4440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation CurrentSince Oct 14, 2024 Accepting new patients
Boston Medical Center Corporation CurrentSince Oct 14, 2024 Accepting new patients

Locations

4199 Washington St
Roslindale, MA 02131
Phone (617) 323-4440

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1225693336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PLEASANT ST",
            "address_2": "N/A",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027621900",
            "telephone_number": "508-212-3603",
            "fax_number": "508-695-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PARK ST STE 3",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027038048",
            "telephone_number": "508-212-3603",
            "fax_number": "508-695-0345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Park St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027038048",
            "country_code": "US",
            "telephone_number": "508-212-3603",
            "fax_number": "508-695-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOAQUIN",
        "first_name": "PAULA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.