Willow Bough Carpenter

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

14 Fordham Rd
Allston, MA 02134-3006

Phone

(617) 782-6460

NPI assigned

Oct 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hri Clinics Inc

  • Community/Behavioral Health Agency
  • Norwell, MA
  • NPI 1922123199
  NPD
• Hri Clinics, Inc.

  • Community/Behavioral Health Agency
  • Woburn, MA
  • NPI 1598707002
  NPD

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1356520050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FORDHAM RD",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021343006",
            "telephone_number": "617-782-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FORDHAM RD",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021343006",
            "telephone_number": "617-782-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "WILLOW",
        "middle_name": "BOUGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1319744",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "8411",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1001550",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helena Mae Cameron
• Frank G Campos
• Luana Canale
• Michael Andrew Canty
• Angela Renee Carlson, MA
• Marissa Carty
• Benilde Andrea Carvalho
• Colleen Mary Casey
• Erin M. Cavanagh
• Donna Cawdette

• Mental Health Counselor in Allston, MA
• Providers in Allston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.