Active NPI
Matthew Richard Dussault
- Counselor
- Fall River, MA
National Provider Identifier
1679720908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1565 N Main St Ste 205
Fall River, MA 02720-2972 - Phone
- (508) 324-1060
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1565 N Main St Ste 205
Fall River, MA 02720-2972
Mailing address
3 Evergreen St
Fairhaven, MA 02719-5406
Phone (508) 994-9206
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Early Intervention | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Fall River, MA
- NPI 1841451705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1679720908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 EVERGREEN ST",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195406",
"telephone_number": "508-994-9206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 N MAIN ST STE 205",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202972",
"telephone_number": "508-324-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSSAULT",
"first_name": "MATTHEW",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.