Individual provider Active NPI

Tetty Gorfine, M.A.

  • Mental Health Counselor
  • Northampton, MA
National Provider Identifier
1578615159
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1115 Issued in MA
Practice address
123 Hawley St
Northampton, MA 01060-3366
Phone
(413) 585-1655
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1115 MA Primary

Addresses

Primary practice location

123 Hawley St
Northampton, MA 01060-3366

Mailing address

146 Old Sunderland Rd
Montague, MA 01351-9549
Phone (413) 367-9874

Other identifiers 2

IdentifierTypeStateIssuer
LM0747OtherMABLUE CROSS BLUE SHIELD
1890697MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 25, 2024 through Sep 25, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1115MAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1578615159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 OLD SUNDERLAND RD",
            "city": "MONTAGUE",
            "state": "MA",
            "postal_code": "013519549",
            "telephone_number": "413-367-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HAWLEY ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603366",
            "telephone_number": "413-585-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORFINE",
        "first_name": "TETTY",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LM0747",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1890697",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.