The Professional Counseling Center, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

4362 Issued in MA

Legal business name

THE PROFESSIONAL COUNSELING CENTER, INC

Practice address

466 County St
New Bedford, MA 02740-5107

Phone

(508) 997-0794

Fax

(508) 999-6607

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Sandra Delgado, RN

Title

Adminstrator

Phone

(508) 997-0794

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689792673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 COUNTY ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405107",
            "telephone_number": "508-997-0794",
            "fax_number": "508-999-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 COUNTY ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405107",
            "telephone_number": "508-997-0794",
            "fax_number": "508-999-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROFESSIONAL COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "508-997-0794",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1305921",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "312799",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "00030147",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "600688",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS",
            "identifier": "M18591",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Thatcher
• Jennifer Thayer, OTRL
• The Commonwealth of Massachusetts (Bristol County Sheriffs Office - PSH Street Jail)
• The Compounding Lab Inc.
• The Garden Therapy Services PLLC
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #70)
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #98)
• Jillian M Theobald
• Kristin G. Theofanides, M.ED
• Therapeutic Balance LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.