Individual provider Active NPI

Patricia Venegas, LMHC

  • Mental Health Counselor
  • Sturbridge, MA
National Provider Identifier
1285943639
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC11174 Issued in MA
Practice address
258 Main St
Sturbridge, MA 01566-1540
Phone
(508) 418-6888
Fax
(508) 418-6886
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 LMHC11174 MA Primary

Addresses

Primary practice location

258 Main St
Sturbridge, MA 01566-1540

Mailing address

258 Main St
Sturbridge, MA 01566-1540
Phone (508) 418-6888

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
I20240109002366 MA Practitioner - Mental Health Counselor 1557712023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Psychiatric Services LLCGroup PAC ID 4082983911, 13 clinicians

Practice addresses (Care Compare)

258 Main St
Sturbridge, MA 01566-1540
Phone 5084186888206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Psychiatric Services, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

258 Main St
Sturbridge, MA 01566
Phone (508) 418-6888

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": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1285943639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661540",
            "telephone_number": "508-418-6888",
            "fax_number": "508-418-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661540",
            "telephone_number": "508-418-6888",
            "fax_number": "508-418-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC11174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturbridge, MA

Sources for this page

Verify at the official NPI Registry.