Individual provider Active NPI

Amy Lois McIntosh, LMHC

  • Mental Health Counselor
  • Fall River, MA
National Provider Identifier
1750733366
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10000148 Issued in MA
Practice address
4 Hartwell St Ste 202
Fall River, MA 02721-3019
Phone
(800) 852-2844
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2024

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 10000148 MA Primary

Addresses

Primary practice location

4 Hartwell St Ste 202
Fall River, MA 02721-3019

Mailing address

17 Simpson LN
Assonet, MA 02702-1407
Phone (508) 801-4713

Other names 1

  • Amy Lois La Raia Former name

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
I20240918002726 MA Practitioner - Mental Health Counselor 6507307568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10000148MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Counseling Company CurrentSince Mar 9, 2024 Accepting new patients
Sunrise Counseling Services Mental Health CurrentSince Feb 4, 2024 Accepting new patients

Locations

4 Hartwell St
Ste 201
Fall River, MA 02721
Phone (774) 218-5440

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1750733366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SIMPSON LN",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "027021407",
            "telephone_number": "508-801-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTWELL ST STE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213019",
            "telephone_number": "800-852-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "AMY",
        "middle_name": "LOIS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10000148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LA RAIA",
            "middle_name": "LOIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.