Individual provider Active NPI

Miriam Marla Oppenheimer

  • Counselor
  • Springfield, MA
National Provider Identifier
1467771238
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
110 Maple St
Springfield, MA 01105-1864
Phone
(413) 846-4300
Fax
(413) 846-4311
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

110 Maple St
Springfield, MA 01105-1864

Mailing address

110 Maple St
Springfield, MA 01105-1864
Phone (413) 846-4300

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
I20240710000953 MA Practitioner - Mental Health Counselor 1557806957 Practice locations: Pelham, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Buffam Rd
Pelham, MA 01002-9720
Phone (413) 374-7895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Miriam Oppenheimer PastSince Mar 24, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1467771238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAPLE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051864",
            "telephone_number": "413-846-4300",
            "fax_number": "413-846-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAPLE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051864",
            "telephone_number": "413-846-4300",
            "fax_number": "413-846-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIMER",
        "first_name": "MIRIAM",
        "middle_name": "MARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.