Active NPI
Brenda Souza, CAC, LADCI
- Counselor
- New Bedford, MA
National Provider Identifier
1720260532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1418
- Practice address
- 497 Belleville Ave
New Bedford, MA 02746-2420 - Phone
- (508) 991-7487
- NPI assigned
- Dec 4, 2007
- Sex
- Female
- 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 | 1418 | MA | Primary |
Addresses
Primary practice location
497 Belleville Ave
New Bedford, MA 02746-2420
Mailing address
497 Belleville Ave
New Bedford, MA 02746-2420
Phone (508) 991-7487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1894234 | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1418 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflections, Inc. | 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.
-
- Addiction (Substance Use Disorder) Counselor
- New Bedford, MA
- NPI 1770651242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1720260532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 BELLEVILLE AVE",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027462420",
"telephone_number": "508-991-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 BELLEVILLE AVE",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027462420",
"telephone_number": "508-991-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "BRENDA",
"credential": "CAC, LADCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-04",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "1418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1894234",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.