NPIMap

Organization Active NPI

Isles End Counseling, LLC

  • Mental Health Counselor
  • Mansfield, MA
National Provider Identifier
1629522446
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ISLES END COUNSELING, LLC
Practice address
129 N Main St # 305
Mansfield, MA 02048-3803
Phone
(508) 864-1212
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle BrunaultNPI 1184741001
Title
Mental Health Counselor
Phone
(508) 622-1980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

129 N Main St # 305
Mansfield, MA 02048-3803

Mailing address

3 Foster Dr
Norton, MA 02766-1162
Phone (508) 622-1980

National Provider Directory

National Provider Directory

Locations

129 N Main St
#305
Mansfield, MA 02048
Phone (508) 864-1212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1629522446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FOSTER DR",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027661162",
            "telephone_number": "508-622-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N MAIN ST # 305",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483803",
            "telephone_number": "508-864-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLES END COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "BRUNAULT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "508-622-1980"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.