David Ari Ettelman, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1746 Issued in MA

Practice address

216 N King St
Northampton, MA 01060-1120

Phone

(413) 588-7474

NPI assigned

Apr 30, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Marriage and Family Therapist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Servicenet Inc

  • Early Intervention Provider Agency
  • Northampton, MA
  • NPI 1649347691
  NPD (past)

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1750791729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010601120",
            "telephone_number": "413-588-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010601120",
            "telephone_number": "413-588-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010603264",
            "country_code": "US",
            "telephone_number": "413-570-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTELMAN",
        "first_name": "DAVID",
        "middle_name": "ARI",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Eppsteiner, M.D.
• Joy S Epting
• Maribeth A Erb, OD
• Martha Escobar
• Sharon Esdale, LIC. AC.
• Kristin Michelle Ettinger, LICSW
• Kristin L Evans, LICSW
• Michael Joseph Evans, D.C.
• Peter Jansen Everett, M.D.
• Evolve Therapy Solutions, LLC

• Mental Health Counselor in Northampton, MA
• Providers in Northampton, 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 Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.