Edward Justin Modestino, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10002001 Issued in MA

Practice address

8 Meadowbrook LN
South Easton, MA 02375-1289

Phone

(508) 258-9703

NPI assigned

Aug 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stoughton Counseling IncGroup PAC ID 4981937745, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Stoughton Counseling Inc

  • Mental Health Counselor
  • Stoughton, MA
  • NPI 1912464603
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1467064972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEADOWBROOK LN",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751289",
            "telephone_number": "781-975-2185",
            "fax_number": "781-341-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEADOWBROOK LN",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751289",
            "telephone_number": "508-258-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTINO",
        "first_name": "EDWARD",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002001",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie McNerney, PA-C
• Angelina Mendes
• Michael Foley LMHC LLC
• Mindnbeyond Wellness LLC
• Mindrise Psychology, LLC
• Moliere Home Services & Transportation
• Brendan James Monahan, LCSW
• Tara Myers
• Debbi Napolitano McCadden
• Joseph A Nash, DMD

• Mental Health Counselor in South Easton, MA
• Providers in South Easton, 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 16, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.