Individual provider Active NPI

Margorie Perez Nieves, MA

  • Mental Health Counselor
  • Springfield, MA
National Provider Identifier
1699055467
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2155 Main St
Springfield, MA 01104-3301
Phone
(413) 736-0395
Fax
(413) 734-1651
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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 Primary

Addresses

Primary practice location

2155 Main St
Springfield, MA 01104-3301

Mailing address

147 Norman St
West Springfield, MA 01089-5003
Phone (413) 736-8329

Other identifiers 4

IdentifierTypeStateIssuer
1303295OtherMAMBHP
8443OtherMABMC
997303OtherMANETWORK HEALTH
1303295MedicaidMA

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
I20160922002234 MA Practitioner - Clinical Psychologist 4486941135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gandara Mental Health Center IncGroup PAC ID 4486544525, 7 clinicians

Practice addresses (Care Compare)

2155 Main St
Springfield, MA 01104-3301
Phone (413) 736-0395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Gandara Mental Health Center Inc Mental Health CurrentSince Jun 25, 2016 Accepting new patients

Locations

933 E Columbus Ave
Springfield, MA 01105
Phone (413) 301-6019

2155 Main St
Springfield, MA 01104
Phone (413) 736-0395

85 Saint George Rd
Springfield, MA 01104
Phone (413) 732-2120

147 Norman St
West Springfield, MA 01089
Phone (413) 736-8329

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.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1699055467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 NORMAN ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010895003",
            "telephone_number": "413-736-8329",
            "fax_number": "413-732-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043301",
            "telephone_number": "413-736-0395",
            "fax_number": "413-734-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ NIEVES",
        "first_name": "MARGORIE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1303295",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "8443",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "997303",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303295",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.