Individual provider Active NPI

Michael Carr

  • Mental Health Counselor
  • Fall River, MA
National Provider Identifier
1508483983
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
379 Lawton St
Fall River, MA 02721-3327
Phone
(508) 567-5831
NPI assigned
Jul 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

379 Lawton St
Fall River, MA 02721-3327

Mailing address

379 Lawton St
Fall River, MA 02721-3327
Phone (508) 567-5831

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
I20240628002695 MA Practitioner - Mental Health Counselor 4880138023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Trauma Center IncGroup PAC ID 8022551670, 4 clinicians

Practice addresses (Care Compare)

380 County St
New Bedford, MA 02740-4943
Phone (774) 328-8718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gosnold, Inc. CurrentSince Apr 22, 2024 Accepting new patients
Healing Trauma Center Inc. Mental Health CurrentSince Oct 11, 2024 Accepting new patients
Michael Carr Counseling Services, LLC Mental Health CurrentSince Sep 1, 2024 Accepting new patients

Locations

196 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 548-7118

200 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 563-2262

380 County St
New Bedford, MA 02740
Phone (774) 328-8718

150 8th St
#1
New Bedford, MA 02740
Phone (508) 509-3542

150 8th St
New Bedford, MA 02740
Phone (774) 328-8718

909 Sumner St
Stoughton, MA 02072
Phone (508) 427-2480

Organizations & group practices 3

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1508483983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 LAWTON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213327",
            "telephone_number": "508-567-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 LAWTON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213327",
            "telephone_number": "508-567-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.