Active NPI
M.O. L.I.F.E., Inc.
- Mental Health Counselor
- Fairhaven, MA
National Provider Identifier
1801487632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- M.O. L.I.F.E., INC.
- Practice address
- 4 Lambeth Park Dr
Fairhaven, MA 02719-4734 - Phone
- (508) 992-5978
- NPI assigned
- Feb 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Brito
- Title
- Coo
- Phone
- (774) 263-8897
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4 Lambeth Park Dr
Fairhaven, MA 02719-4734
Mailing address
4 Lambeth Park Dr
Fairhaven, MA 02719-4734
Phone (508) 992-5978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4 Lambeth Park Dr
Fairhaven, MA 02719
Phone (508) 992-5978
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fairhaven, MA
- NPI 1992820534
-
- Mental Health Counselor
- Fairhaven, MA
- NPI 1669543823
-
- Mental Health Counselor
- New Bedford, MA
- NPI 1528816519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612310400000",
"number": "1801487632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LAMBETH PARK DR",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027194734",
"telephone_number": "508-992-5978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 LAMBETH PARK DR",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027194734",
"telephone_number": "508-992-5978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M.O. L.I.F.E., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-02",
"status": "A",
"authorized_official_last_name": "BRITO",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "774-263-8897"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhaven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.