Individual provider Active NPI

Shari Rudisill

  • Counselor
  • Marlborough, MA
National Provider Identifier
1720494487
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
133 E Main St
Marlborough, MA 01752-2647
Phone
(508) 212-8826
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

133 E Main St
Marlborough, MA 01752-2647

Mailing address

1001A Pleasant St
Framingham, MA 01701-8853
Phone (508) 212-8826

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
I20231228001873 MA Practitioner - Mental Health Counselor 1658721907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Practice addresses (Care Compare)

340 Maple St
Suite 400
Marlborough, MA 01752-3200
Phone (508) 485-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10111MAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc CurrentSince Jan 1, 2024 Accepting new patients
Advocates, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1881 Worcester Rd
Framingham, MA 01701

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

354 Waverley St
Fl 2
Framingham, MA 01702
Phone (440) 223-3654

340 Maple St
Ste 400
Marlborough, MA 01752
Phone (508) 485-9300

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1720494487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001A PLEASANT ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017018853",
            "telephone_number": "508-212-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522647",
            "telephone_number": "508-212-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDISILL",
        "first_name": "SHARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.