Individual provider Active NPI

Robyn Leigh Ernst, M.S. COUNSELING PSYC

  • Mental Health Counselor
  • West Boylston, MA
National Provider Identifier
1558412643
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7881 Issued in MA
Practice address
Pediatric Behavioral Health
148 Worcester St.
West Boylston, MA 01583
Phone
(508) 835-1735
Fax
(508) 835-1736
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 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 7881 MA Primary

Addresses

Primary practice location

Pediatric Behavioral Health
148 Worcester St.
West Boylston, MA 01583

Mailing address

86 Parkton Ave
Worcester, MA 01605-1030
Phone (508) 852-6545

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pbhealth.org Health Information Exchange (HIE)

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7881MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Behavioral Health, LLC Mental Health CurrentSince Apr 10, 2023 Accepting new patients
Staffier Associates Inc PastSince Sep 8, 1993 Accepting new patients
Center for Human Development, Inc. Mental Health Past Accepting new patients

Locations

148 Worcester St
West Boylston, MA 01583
Phone (508) 835-1735

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1558412643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 PARKTON AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051030",
            "telephone_number": "508-852-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEDIATRIC BEHAVIORAL HEALTH",
            "address_2": "148 WORCESTER ST.",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "01583",
            "telephone_number": "508-835-1735",
            "fax_number": "508-835-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "ROBYN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "M.S. COUNSELING PSYC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pbhealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Pediatric Behavioral Health",
            "address_2": "148 Worcester St.",
            "city": "West Boylston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Boylston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.