Individual provider Active NPI

Alyssa S Monahan

  • Counselor
  • Mansfield, MA
National Provider Identifier
1316566870
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
792 S Main St
Mansfield, MA 02048-3137
Phone
(774) 225-0006
Fax
(617) 663-6056
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Counselor 101Y00000X Primary

Addresses

Primary practice location

792 S Main St
Mansfield, MA 02048-3137

Mailing address

25 Old Cedar VLG
Bridgewater, MA 02324-1063
Phone (508) 930-1356

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
I20240302000261 MA Practitioner - Mental Health Counselor 8921443797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Creative Life Solutions, LLCGroup PAC ID 6709313604, 6 clinicians

Practice addresses (Care Compare)

205 W Grove St
Suite E
Middleboro, MA 02346-1462
Phone (508) 203-6908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise and Attune Counseling LLC Counselor Current Accepting new patients
Center for Creative Life Solutions, LLC CurrentSince Jan 13, 2025 Accepting new patients

Locations

205 W Grove St
Ste E
Middleboro, MA 02346
Phone (508) 203-6908

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1316566870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OLD CEDAR VLG",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241063",
            "telephone_number": "508-930-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 S MAIN ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483137",
            "telephone_number": "774-225-0006",
            "fax_number": "617-663-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "ALYSSA",
        "middle_name": "S",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.