Active NPI
Nadene Elizabeth Stillings, LMHC, ATR-BC
- Art Therapist
- Bedford, MA
National Provider Identifier
1538399720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 12-064
- Practice address
- 200 Springs Rd # Ot1
Bedford, MA 01730-1114 - Phone
- (781) 687-3199
- NPI assigned
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8449 | MA | |
| Art Therapist | 221700000X | 12-064 | Primary |
Addresses
Primary practice location
200 Springs Rd # Ot1
Bedford, MA 01730-1114
Mailing address
200 Springs Rd # Ot1
Bedford, MA 01730-1114
Phone (781) 687-3199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8449 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Mental Health | Past | 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.
-
- Case Management Agency
- Salem, MA
- NPI 1649616871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1538399720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SPRINGS RD # OT1",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301114",
"telephone_number": "781-687-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SPRINGS RD # OT1",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301114",
"telephone_number": "781-687-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLINGS",
"first_name": "NADENE",
"middle_name": "ELIZABETH",
"credential": "LMHC, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2023-01-31",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "8449",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": "12-064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.