Active NPI
Charlette L Fenstermaker, M.ED. LADC1
- Addiction (Substance Use Disorder) Counselor
- East Bridgewater, MA
National Provider Identifier
1285967331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15060
- Practice address
- 67 Folsom Ave
East Bridgewater, MA 02333-1137 - Phone
- (508) 378-7067
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15060 | MA | Primary |
Addresses
Primary practice location
67 Folsom Ave
East Bridgewater, MA 02333-1137
Mailing address
1560 Plymouth St
East Bridgewater, MA 02333-2419
Phone (508) 369-1712
Other practice location 1
176 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 894-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
680 Centre St
Brockton, MA 02302-3308
680 Centre St
Brockton, MA 02302-3395
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15060 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1285967331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 PLYMOUTH ST",
"city": "EAST BRIDGEWATER",
"state": "MA",
"postal_code": "023332419",
"telephone_number": "508-369-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 FOLSOM AVE",
"city": "EAST BRIDGEWATER",
"state": "MA",
"postal_code": "023331137",
"telephone_number": "508-378-7067"
}
],
"practiceLocations": [
{
"address_1": "176 Quincy Ave",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023022803",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENSTERMAKER",
"first_name": "CHARLETTE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "M.ED. LADC1",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "15060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.