Individual provider Active NPI

Dawn M Roy, LMHC

  • Mental Health Counselor
  • Ashby, MA
National Provider Identifier
1528230752
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4961 Issued in MA
Practice address
47 Mayo Rd
Ashby, MA 01431-2017
Phone
(978) 302-6809
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 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 4961 MA Primary

Addresses

Primary practice location

47 Mayo Rd
Ashby, MA 01431-2017

Mailing address

47 Mayo Rd
Ashby, MA 01431-2017
Phone (978) 302-6809

Other practice location 1

545 Westminster St
Fitchburg, MA 01420-4727
Phone (978) 345-0685

Other identifiers 1

IdentifierTypeStateIssuer
4961OtherMALMHC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL none

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
Luk Crisis Center Inc. PastSince Jan 9, 2013 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/luk/r4/

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1528230752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAYO RD",
            "city": "ASHBY",
            "state": "MA",
            "postal_code": "014312017",
            "telephone_number": "978-302-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAYO RD",
            "city": "ASHBY",
            "state": "MA",
            "postal_code": "014312017",
            "telephone_number": "978-302-6809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Westminster St",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014204727",
            "country_code": "US",
            "telephone_number": "978-345-0685",
            "fax_number": "978-342-8495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "DAWN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "4961",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "47 Mayo Rd",
            "city": "Ashby",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014312017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashby, MA

Sources for this page

Verify at the official NPI Registry.