Individual provider Active NPI

Karen Gravel

  • Mental Health Counselor
  • New Bedford, MA
National Provider Identifier
1265818751
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10861 Issued in MA
Practice address
227 Union St Ste 408
New Bedford, MA 02740-5946
Phone
(508) 202-0741
NPI assigned
Aug 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 10861 MA Primary

Addresses

Primary practice location

227 Union St Ste 408
New Bedford, MA 02740-5946

Mailing address

227 Union St Ste 408
New Bedford, MA 02740-5946
Phone (508) 202-0741

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
I20240930003054 MA Practitioner - Mental Health Counselor 3173054251 Practice locations: New Bedford, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

227 Union St
Suite 408
New Bedford, MA 02740-5946
Phone (508) 202-0741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10861MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue World Counseling CurrentSince May 19, 2024 Accepting new patients

Locations

227 Union St
Ste 408
New Bedford, MA 02740
Phone (508) 202-0741

Organizations & group practices 1

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1265818751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 UNION ST STE 408",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405946",
            "telephone_number": "508-202-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 UNION ST STE 408",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405946",
            "telephone_number": "508-202-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVEL",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.