Ida M Doetsch, BS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

12 Irene CT
Bellingham, MA 02019-1710

Phone

(508) 808-4894

Fax

(508) 628-7302

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1487089280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 IRENE CT",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020191710",
            "telephone_number": "508-808-4894",
            "fax_number": "508-628-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 IRENE CT",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020191710",
            "telephone_number": "508-808-4894",
            "fax_number": "508-628-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOETSCH",
        "first_name": "IDA",
        "middle_name": "M",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bellingham, MA
• Providers in Bellingham, 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 Sep 11, 2013; 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.