Annabelle Coote, MA, LMHC

Individual provider Active NPI Mental Health Counselor · Great Barrington, MA

NPI 1750836474 · NPPES record last updated Aug 23, 2016

Key facts

NPI
1750836474
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
4762 (MA)
Practice address
405 Stockbridge Rd
Great Barrington, MA 01230-1233
Phone
(413) 644-0171
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 22, 2024 through Mar 22, 2028

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
068.0101813VTMDMental Health Counselor
4762MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Matters LLC Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4762 MA Yes
Mental Health Counselor 101YM0800X 068.0101813 VT

Addresses

Primary practice location

405 Stockbridge Rd
Great Barrington, MA 01230-1233

Mailing address

405 Stockbridge Rd
Great Barrington, MA 01230-1233
Phone (413) 644-0171

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 23, 2016.

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1750836474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STOCKBRIDGE RD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301233",
            "telephone_number": "413-644-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STOCKBRIDGE RD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301233",
            "telephone_number": "413-644-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOTE",
        "first_name": "ANNABELLE",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4762",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0101813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

All providers in Great Barrington, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.