Organization Active NPI

Interactions Counseling and Intervention Center Inc.

  • Mental Health Counselor
  • Westford, MA
National Provider Identifier
1760583736
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTERACTIONS COUNSELING AND INTERVENTION CENTER INC.
Practice address
288 Littleton Rd
Westford, MA 01886-3536
Phone
(978) 392-9600
Fax
(978) 486-8104
NPI assigned
Sep 25, 2006
Last updated
Dec 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Ms. Shari Jan Bennett, MSWNPI 1972604932
Title
President
Phone
(978) 392-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

288 Littleton Rd
Westford, MA 01886-3536

Mailing address

288 Littleton Rd Ste 30
Westford, MA 01886-3527
Phone (978) 392-9600

Other names 1

  • Interactions Counseling Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101104000158 MA Part B Supplier - Clinic/Group Practice 4981613262 Receives reassigned benefits from 1 practitioner
Practice locations: Westford, MA

National Provider Directory

National Provider Directory

Locations

311 Great Rd
Littleton, MA 01460
Phone (716) 807-8848

288 Littleton Rd
Ste 30
Westford, MA 01886
Phone (978) 392-9600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1760583736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 LITTLETON RD STE 30",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863527",
            "telephone_number": "978-392-9600",
            "fax_number": "978-486-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 LITTLETON RD",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863536",
            "telephone_number": "978-392-9600",
            "fax_number": "978-486-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIONS COUNSELING AND INTERVENTION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-392-9600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interactions Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.