Active NPI
Erica Urban, LCSW
- Mental Health Counselor
- Mashpee, MA
National Provider Identifier
1588112304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 220539
- Practice address
- 107 Commercial St
Mashpee, MA 02649-6507 - Phone
- (508) 477-7090
- Fax
- (508) 477-7028
- NPI assigned
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 220539 | MA | Primary |
Addresses
Primary practice location
107 Commercial St
Mashpee, MA 02649-6507
Mailing address
107 Commercial St
Mashpee, MA 02649-6507
Phone (508) 477-7090
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180705001026 | MA | Practitioner - Clinical Social Worker | 7315227956 | Practice locations: E Falmouth, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
70 E Falmouth Hwy
Suite 6
E Falmouth, MA 02536-5960
Phone (774) 487-0233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220539 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1588112304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 COMMERCIAL ST",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026496507",
"telephone_number": "508-477-7090",
"fax_number": "508-477-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 COMMERCIAL ST",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026496507",
"telephone_number": "508-477-7090",
"fax_number": "508-477-7028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN",
"first_name": "ERICA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "220539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.