Organization Active NPI

Multicultural Evaluation Family Counseling Services Center, Inc.

  • Mental Health Counselor
  • Brockton, MA
National Provider Identifier
1326550286
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7487 Issued in MA
Legal business name
MULTICULTURAL EVALUATION FAMILY COUNSELING SERVICES CENTER, INC.
Practice address
33 Dover St Ste 328
Brockton, MA 02301-5973
Phone
(508) 857-1225
Fax
(508) 857-1287
NPI assigned
Nov 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Mrs. Chantal Jean-Baptiste, LMHC
Title
Owner/Clinician
Phone
(508) 314-3389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 7487 MA Primary

Addresses

Primary practice location

33 Dover St Ste 328
Brockton, MA 02301-5973

Mailing address

8 Nylan Rd
Brockton, MA 02301-1752
Phone (508) 857-3114

Other identifiers 1

IdentifierTypeStateIssuer
1851624142MedicaidMA

National Provider Directory

National Provider Directory

Locations

33 Dover St
Ste 328
Brockton, MA 02301
Phone (508) 857-1225

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1326550286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NYLAN RD",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011752",
            "telephone_number": "508-857-3114",
            "fax_number": "508-857-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DOVER ST STE 328",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015973",
            "telephone_number": "508-857-1225",
            "fax_number": "508-857-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICULTURAL EVALUATION FAMILY COUNSELING SERVICES CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "JEAN-BAPTISTE",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "508-314-3389",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851624142",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.