Dancing Thistle LLC

Key facts

NPI

1386274306

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

DANCING THISTLE LLC

Practice address

197 Palmer Ave
Falmouth, MA 02540-2806

Phone

(508) 933-2246

NPI assigned

Jan 17, 2020

Organization subpart

No

Authorized official

Name

Dea Elizabeth Butcher, LMHC NPI 1487957510

Title

Sole Member

Phone

(509) 933-2246

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dea Elizabeth Butcher Mental Health Counselor · Plymouth, MA · NPI 1487957510
  Medicare reassignment NPD Authorized official MA · MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MA

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 17, 2020.

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1386274306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SAND POINT SHORES DR",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025364739",
            "telephone_number": "508-933-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 PALMER AVE",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402806",
            "telephone_number": "508-933-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANCING THISTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "DEA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "509-933-2246",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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