Individual provider Active NPI

Erin Madigan Stathis, LMHC

  • Mental Health Counselor
  • Canton, MA
National Provider Identifier
1427294453
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7243 Issued in MA
Practice address
275 Turnpike St Ste 105
Canton, MA 02021
Phone
(617) 446-3009
NPI assigned
Dec 22, 2008
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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 7243 MA Primary

Addresses

Primary practice location

275 Turnpike St Ste 105
Canton, MA 02021

Mailing address

107 Pond St
Braintree, MA 02184-5355
Phone (617) 792-4056

Other practice location 1

275 Turnpike St Ste 105
Canton, MA 02021
Phone (617) 446-3009

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
7243MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1427294453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 POND ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845355",
            "telephone_number": "617-792-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 TURNPIKE ST STE 105",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "02021",
            "telephone_number": "617-446-3009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Turnpike St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MA",
            "postal_code": "02021",
            "country_code": "US",
            "telephone_number": "617-446-3009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATHIS",
        "first_name": "ERIN",
        "middle_name": "MADIGAN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.