Active NPI
Nadine Kathleen Fowler, LMHC
- Mental Health Counselor
- North Attleboro, MA
National Provider Identifier
1669086674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7311
- Practice address
- 30 S Washington St Unit 72
North Attleboro, MA 02761-7704 - Phone
- (774) 225-0851
- NPI assigned
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 7311 | MA | Primary |
Addresses
Primary practice location
30 S Washington St Unit 72
North Attleboro, MA 02761-7704
Mailing address
30 S Washington St Unit 72
North Attleboro, MA 02761-7704
Phone (774) 225-0851
Other names 1
- Ms. Nadine Kathleen Ravitz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7311 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- nadinefowler@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1669086674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 S WASHINGTON ST UNIT 72",
"city": "NORTH ATTLEBORO",
"state": "MA",
"postal_code": "027617704",
"telephone_number": "774-225-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S WASHINGTON ST UNIT 72",
"city": "NORTH ATTLEBORO",
"state": "MA",
"postal_code": "027617704",
"telephone_number": "774-225-0851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "NADINE",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "7311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NADINE",
"last_name": "RAVITZ",
"middle_name": "KATHLEEN",
"prefix": "MS.",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.