Individual provider Active NPI

Maria Ines Prado

  • Mental Health Counselor
  • Springfield, MA
National Provider Identifier
1659890788
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10000484 Issued in MA
Practice address
200 Ellendale Cir
Springfield, MA 01128-1147
Phone
(413) 777-9572
NPI assigned
Sep 9, 2017
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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 LMHC10000484 MA Primary

Addresses

Primary practice location

200 Ellendale Cir
Springfield, MA 01128-1147

Mailing address

200 Ellendale Cir
Springfield, MA 01128-1147
Phone (413) 777-9572

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prado_ine@hotmail.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219003231 MA Practitioner - Mental Health Counselor 3173043288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colorful Resilience LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

201 Park Ave
Ste 9
West Springfield, MA 01089
Phone (413) 206-6015

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1504915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1659890788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELLENDALE CIR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011281147",
            "telephone_number": "413-777-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELLENDALE CIR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011281147",
            "telephone_number": "413-777-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "MARIA",
        "middle_name": "INES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-09",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prado_ine@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "second email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Ellendale Cir",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011281147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.