Organization Active NPI

Inclusion Family Counseling Center Inc

  • Community/Behavioral Health Agency
  • Brockton, MA
National Provider Identifier
1639690837
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INCLUSION FAMILY COUNSELING CENTER INC
Practice address
1 Centre St Ste 301
Brockton, MA 02301-4095
Phone
(508) 510-4483
Fax
(508) 857-3817
NPI assigned
Jun 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Adriano CabralNPI 1184947657
Title
Executive Director
Phone
(508) 577-6434

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1 Centre St Ste 301
Brockton, MA 02301-4095

Mailing address

1 Centre St Ste 301
Brockton, MA 02301-4095
Phone (508) 510-4483

Other identifiers 1

IdentifierTypeStateIssuer
1184947657OtherMANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180530001001 MA Part B Supplier - Clinic/Group Practice 9638434319 Receives reassigned benefits from 2 practitioners
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory

Locations

1 Centre St
Brockton, MA 02301
Phone (508) 510-4483

1 Centre St
Ste 301
Brockton, MA 02301
Phone (508) 510-4483

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639690837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTRE ST STE 301",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014095",
            "telephone_number": "508-510-4483",
            "fax_number": "508-857-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTRE ST STE 301",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014095",
            "telephone_number": "508-510-4483",
            "fax_number": "508-857-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSION FAMILY COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CABRAL",
        "authorized_official_first_name": "ADRIANO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-577-6434"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184947657",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.