Individual provider Active NPI

Justina A Ercolino, MSW, LCSW

  • Mental Health Counselor
  • Framingham, MA
National Provider Identifier
1407457567
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
225758 Issued in MA
Practice address
848 Central St
Framingham, MA 01701-4880
Phone
(508) 915-4377
NPI assigned
Nov 5, 2020
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 225758 MA Primary

Addresses

Primary practice location

848 Central St
Framingham, MA 01701-4880

Mailing address

848 Central St
Framingham, MA 01701-4880
Phone (508) 380-0455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jercolino@tlcdeaf.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
225758MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Learning Center for the Deaf, Inc. PastSince Nov 20, 2022 Accepting new patients

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": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1407457567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 CENTRAL ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014880",
            "telephone_number": "508-380-0455",
            "fax_number": "833-671-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 CENTRAL ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014880",
            "telephone_number": "508-915-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERCOLINO",
        "first_name": "JUSTINA",
        "middle_name": "A",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "225758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jercolino@tlcdeaf.org",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "63 Fountain St",
            "city": "Framingham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017026279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.