Active NPI
Arni Bruno Vito Casareale, MA, LMHC
- Mental Health Counselor
- Spencer, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LM1253
- Practice address
- 369 Main St
Spencer, MA 01562 - Phone
- (508) 885-0788
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LM1253 | MA | Primary |
| Mental Health Counselor | 101YM0800X | 1065260 | MA |
Addresses
Primary practice location
369 Main St
Spencer, MA 01562
Mailing address
7 Orchard Hill Dr
Rutland, MA 01543-1779
Phone (508) 885-0788
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1065260 | Other | MA | BEACON FALLON |
| LM1253 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
165 Mill St
Leominster, MA 01453-3289
Phone (978) 878-8100
175 Connors St
Gardner, MA 01440-2637
Phone (978) 410-6100
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1065260 | MA | MD | Mental Health Counselor |
| LM1253 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Past | Accepting new patients |
Locations
326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270
175 Connors St
Gardner, MA 01440
Phone (978) 410-6100
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1477580827
-
- Mental Health Counselor
- Spencer, MA
- NPI 1689965543
-
dba South Gardner Community Health Center and Urgent Care
- Federally Qualified Health Center (FQHC)
- Gardner, MA
- NPI 1225742174
-
dba ACTION Health Services
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1811149586
-
dba Urgent Care Express at Harrington
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467512228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ORCHARD HILL DR",
"city": "RUTLAND",
"state": "MA",
"postal_code": "015431779",
"telephone_number": "508-885-0788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 MAIN ST",
"city": "SPENCER",
"state": "MA",
"postal_code": "01562",
"telephone_number": "508-885-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASAREALE",
"first_name": "ARNI",
"middle_name": "BRUNO VITO",
"name_prefix": "Mr.",
"credential": "MA, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LM1253",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1065260",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON FALLON",
"identifier": "1065260",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "LM1253",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.