Stephanie Racine

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11005 Issued in MA

Practice address

88 Montvale Ave
Stoneham, MA 02180-3643

Phone

(781) 662-6400

NPI assigned

Apr 27, 2016

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

Other names 1

• Stephanie McCluskey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Counseling & Assessment Clinic of Worcester LLC

  • Community/Behavioral Health Agency
  • Worcester, MA
  • NPI 1487863494

  Mental Health

  NPD (past)
• Counseling & Assessment Clinic of Worcester, LLC

  • Community/Behavioral Health Agency
  • Worcester, MA
  • NPI 1134578719
  NPD (past)

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1407201460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803643",
            "telephone_number": "781-662-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACINE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MCCLUSKEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew/ John Preziosi, M.D.
• Kerry Prifti, PT
• Ann H Purdy, LICSW
• Sara Elizabeth Putnam
• Khether Raby, MD
• Ramesh Izedian DMD & Shohram Moghaddam DMD PC
• Jose Ramos
• Sharon Randle
• Lindsay Raymond
• Sally Reagan

• Mental Health Counselor in Stoneham, MA
• Providers in Stoneham, 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 Jun 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.