Individual provider Active NPI

Nikolas R Protasenia, MASTERS

  • Mental Health Counselor
  • Hingham, MA
National Provider Identifier
1487984241
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
99 Derby St
Hingham, MA 02043-4216
Phone
(732) 762-5553
NPI assigned
Dec 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 10450 MA
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

99 Derby St
Hingham, MA 02043-4216

Mailing address

99 Derby St
Hingham, MA 02043-4216
Phone (732) 762-5553

Other practice location 1

30 Meadowbrook Rd
Brockton, MA 02301-7122
Phone (508) 742-4400 ext. 6112

Other identifiers 1

IdentifierTypeStateIssuer
1487984241MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Victorious Counseling Services, LLC Current Accepting new patients
High Point Treatment Center Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

30 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 408-6190

72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448

1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527

Organizations & group practices 2

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": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1487984241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 DERBY ST",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434216",
            "telephone_number": "732-762-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DERBY ST",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434216",
            "telephone_number": "732-762-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Meadowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023017122",
            "country_code": "US",
            "telephone_number": "508-742-4400 x6112",
            "fax_number": "508-408-6181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROTASENIA",
        "first_name": "NIKOLAS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MASTERS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-30",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10450",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487984241",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.