Elaine J Block-Pellegrini

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

219 Issued in MA

Practice address

200 Boston Ave
Medford, MA 02155-4243

Phone

(781) 306-1180

Fax

(781) 306-1190

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

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

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

Specialty

Mental Health Counselor

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stoughton Counseling IncGroup PAC ID 4981937745, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stoughton Counseling Inc

  • Mental Health Counselor
  • Stoughton, MA
  • NPI 1912464603
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1366612244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOSTON AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554243",
            "telephone_number": "781-306-1180",
            "fax_number": "781-306-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOSTON AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554243",
            "telephone_number": "781-306-1180",
            "fax_number": "781-306-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK-PELLEGRINI",
        "first_name": "ELAINE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Blackman
• Blake Acupuncture & Herbal Medicine
• Lisa Blake, LIC. AC.
• Eugenia Blank, M.D.
• Joel G Bleier, MD
• Edith Block
• Helaine Blomberg, MHC
• Helena Bloomingdale, LICSW
• Elizabeth P Bohan, LICSW
• Betty Jo Bolin, MSW

• Mental Health Counselor in Medford, MA
• Providers in Medford, 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 Mar 6, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.