Rebecca Tillinghast

Individual provider Active NPI Counselor · South Egremont, MA

NPI 1407280464 · NPPES record last updated Apr 20, 2022

Key facts

NPI
1407280464
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
16 Sheffield Road
South Egremont, MA 01258
Phone
(413) 429-1474
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

314 Main St
Suite 1
Great Barrington, MA 01230-1615
Phone (413) 429-1474

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180521000820 MA Practitioner - Clinical Social Worker 8022373158 Reassigns benefits to 1 organization
Practice locations: Great Barrington, MA

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Tillinghast Inc Current
since Apr 24, 2022
Accepting new patients
Berkshire Medical Center Inc. Current
since Apr 14, 2018
Accepting new patients
Berkshire Medical Center, Inc Current
since Apr 14, 2018
Accepting new patients

Locations

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

16 Sheffield Road
South Egremont, MA 01258

Mailing address

PO Box 182
South Egremont, MA 01258-0182
Phone (413) 429-1474

Other providers in South Egremont, MA

All providers in South Egremont, MA · Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.