Donna Marie Creed Bauman, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1026252 Issued in MA

Practice address

275 Turnpike St
Suite 105
Canton, MA 02021-2357

Phone

(781) 424-2950

Fax

(781) 821-1743

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710057682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CHAPELGATE RD",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212661",
            "telephone_number": "781-828-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 TURNPIKE ST",
            "address_2": "SUITE 105",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212357",
            "telephone_number": "781-424-2950",
            "fax_number": "781-821-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREED BAUMAN",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1026252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "P08614",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "696145",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE ELECT",
            "identifier": "P08614",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy M Coughlin, M.S., CCC-SLP
• Counsel Medical Group, P.a.
• Judy Counterman, MA LMHC
• Covil Home Care LLC
• Barbara Alana Craig, B.S. PHARMD
• Stephen Melville Creel, M.D.
• Michele Crerar, PT
• Christie E. Culbert, LICSW
• Lauren Marie Cunio, MS, CCC-SLP
• Alice A Cusner, O.D.

• Mental Health Counselor in Canton, MA
• Providers in Canton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.