Active NPI
Mathew Barbosa, LMHC
- Mental Health Counselor
- Fairhaven, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 16 Sconticut Neck Rd # 237
Fairhaven, MA 02719-1914 - Phone
- (774) 377-5171
- NPI assigned
- Oct 22, 2013
- Last updated
- Dec 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
16 Sconticut Neck Rd # 237
Fairhaven, MA 02719-1914
Mailing address
16 Sconticut Neck Rd # 237
Fairhaven, MA 02719-1914
Phone (774) 377-5171
Other practice location 1
1245 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 588-5816 ext. 655
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mathew Barbosa, LMHC | Mental Health | Current | Accepting new patients |
Locations
16 Sconticut Neck Rd
Fairhaven, MA 02719
Phone (508) 444-6530
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Learning to Bend Counseling Services
- Mental Health Counselor
- Fairhaven, MA
- NPI 1841889110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1306274741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SCONTICUT NECK RD # 237",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027191914",
"telephone_number": "774-377-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 SCONTICUT NECK RD # 237",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027191914",
"telephone_number": "774-377-5171"
}
],
"practiceLocations": [
{
"address_1": "1245 Edgewater St NW",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973044049",
"country_code": "US",
"telephone_number": "503-588-5816 x655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARBOSA",
"first_name": "MATHEW",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhaven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.