Individual provider Active NPI

Arni Bruno Vito Casareale, MA, LMHC

  • Mental Health Counselor
  • Spencer, MA
National Provider Identifier
1467512228
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LM1253 Issued in MA
Practice address
369 Main St
Spencer, MA 01562
Phone
(508) 885-0788
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1065260OtherMABEACON FALLON
LM1253OtherMABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529001601 MA Practitioner - Mental Health Counselor 2365884897 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1065260MAMDMental Health Counselor
LM1253MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Connections, Inc. CurrentSince Apr 3, 2024 Accepting new patients
Community Health Connections, Inc. Current Accepting new patients
Community Health Connections, Inc. CurrentSince Apr 3, 2024 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.

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

Verify at the official NPI Registry.