Individual provider Active NPI

Colleen Quaile, LMHC

  • Mental Health Counselor
  • Lakeville, MA
National Provider Identifier
1366511636
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5223 Issued in MA
Practice address
12 Harding St Ste 206
Lakeville, MA 02347-1232
Phone
(774) 855-6974
Fax
(774) 855-9994
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5223 MA Primary

Addresses

Primary practice location

12 Harding St Ste 206
Lakeville, MA 02347-1232

Mailing address

384 Cohannet St
Taunton, MA 02780-4103
Phone (857) 205-7031

Other practice location 1

90 Route 44
Raynham, MA 02767-1433
Phone (508) 880-6868 ext. 13

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
I20250703001959 MA Practitioner - Mental Health Counselor 0648679381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections in Counseling IncGroup PAC ID 6103225842, 2 clinicians

Practice addresses (Care Compare)

12 Harding St
Suite 206
Lakeville, MA 02347-1232
Phone (774) 855-6974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5223MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connections in Counseling, Inc Mental Health CurrentSince Jun 1, 2021 Accepting new patients
Behavioral Psychiatric & Psychological Associates, P.C. Mental Health Past Accepting new patients

Locations

12 Harding St
Ste 206
Lakeville, MA 02347
Phone (774) 855-6974

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1366511636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 COHANNET ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804103",
            "telephone_number": "857-205-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HARDING ST STE 206",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471232",
            "telephone_number": "774-855-6974",
            "fax_number": "774-855-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Route 44",
            "address_purpose": "LOCATION",
            "city": "Raynham",
            "state": "MA",
            "postal_code": "027671433",
            "country_code": "US",
            "telephone_number": "508-880-6868 x13",
            "fax_number": "508-880-6848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAILE",
        "first_name": "COLLEEN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MA

Sources for this page

Verify at the official NPI Registry.