Individual provider Active NPI

Katherine Anne Schleich-Medeiros, LMHC, LRC, CRC

  • Mental Health Counselor
  • North Dartmouth, MA
National Provider Identifier
1710925565
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
176495 Issued in MA
Practice address
92 Faunce Corner Rd
Unit 110
North Dartmouth, MA 02747-1262
Phone
(508) 994-1109
Fax
(508) 994-1129
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 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 176495 MA Primary

Addresses

Primary practice location

92 Faunce Corner Rd
Unit 110
North Dartmouth, MA 02747-1262

Mailing address

33 Highland Ave
Compton Highlands
Little Compton, RI 02837-1604
Phone (401) 635-9524

Other identifiers 1

IdentifierTypeStateIssuer
C-021260OtherMAREHABILITATION COUNSELOR

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
I20240119001305 MA Practitioner - Mental Health Counselor 4688026214 Reassigns benefits to 1 organization
Practice locations: North Dartmouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Services, Inc.Group PAC ID 9234116583, 34 clinicians

Practice addresses (Care Compare)

965 Church St
New Bedford, MA 02745-1400
Phone (508) 996-8572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
176495MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Velcea M.D. P.C. PastSince Jan 9, 2009 Accepting new patients

Locations

160 Osborn St
Fall River, MA 02724
Phone (508) 317-8330

3057 Acushnet Ave
New Bedford, MA 02745
Phone (508) 742-1040

965 Church St
New Bedford, MA 02745
Phone (508) 996-3154

Organizations & group practices 2

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1710925565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HIGHLAND AVE",
            "address_2": "COMPTON HIGHLANDS",
            "city": "LITTLE COMPTON",
            "state": "RI",
            "postal_code": "028371604",
            "telephone_number": "401-635-9524",
            "fax_number": "401-635-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 FAUNCE CORNER RD",
            "address_2": "UNIT 110",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471262",
            "telephone_number": "508-994-1109",
            "fax_number": "508-994-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEICH-MEDEIROS",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMHC, LRC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "176495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REHABILITATION COUNSELOR",
            "identifier": "C-021260",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.