Southeast Counseling Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

114158 Issued in MA

Legal business name

SOUTHEAST COUNSELING SERVICES LLC

Practice address

1029 Pleasant St Ste 101
Bridgewater, MA 02324-2473

Phone

(339) 236-1309

NPI assigned

Aug 26, 2011

Last updated

Aug 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Margaret Ramondetta, LICSWNPI 1912201542

Title

Sole Member

Phone

(508) 697-1070

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Margaret Ramondetta, LICSW

  • Clinical Social Worker
  • Bridgewater, MA
  • NPI 1912201542
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1396025938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST STE 101",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242473",
            "telephone_number": "339-236-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST STE 101",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242473",
            "telephone_number": "339-236-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "RAMONDETTA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "508-697-1070",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "114158",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MA",
            "license": "114158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Skea, M.D.
• Peter Smith, ATC
• Erica Snow-Furtado, RN
• Fiona Soucie, RN
• Christine Marie Soucy
• Rebecca A Souza, ANP-BC
• Maryellen Spillane
• Kristopher Spooner, BCBA, LABA
• Gopakumar Sreekumaran Nair
• Lynne Ann St.Louis, LICSW

• Adult Mental Health Clinic/Center in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.