Individual provider Active NPI

Robyn Lori Bernstein Donati, LMHC, MT-BC

  • Professional Counselor
  • Athol, MA
National Provider Identifier
1376671263
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3783 Issued in MA
Practice address
2033 Main St
Athol, MA 01331-3535
Phone
(978) 249-9490
Fax
(978) 249-9514
NPI assigned
Mar 1, 2007
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3783 MA Primary

Addresses

Primary practice location

2033 Main St
Athol, MA 01331-3535

Mailing address

2033 Main St.
Level 2
Athol, MA 01331
Phone (978) 249-9490

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
I20240731003074 MA Practitioner - Mental Health Counselor 3577000157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians

Practice addresses (Care Compare)

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-9490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3783MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Support Options, Inc CurrentSince May 19, 2024 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-3511

2033 Main St
#2
Athol, MA 01331
Phone (978) 249-9490

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1376671263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 MAIN ST.",
            "address_2": "LEVEL 2",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "01331",
            "telephone_number": "978-249-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013313535",
            "telephone_number": "978-249-9490",
            "fax_number": "978-249-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATI",
        "first_name": "ROBYN",
        "middle_name": "LORI BERNSTEIN",
        "name_prefix": "Ms.",
        "credential": "LMHC, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "3783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athol, MA

Sources for this page

Verify at the official NPI Registry.