Active NPI
David Arthur Cloutier, LMHC
- Mental Health Counselor
- Whitinsville, MA
National Provider Identifier
1821136235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6950
- Practice address
- 781 Main St Ste 6
Whitinsville, MA 01588-1712 - Phone
- (508) 243-0215
- Fax
- (508) 386-9745
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6950 | MA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
781 Main St Ste 6
Whitinsville, MA 01588-1712
Mailing address
781 Main St Ste 6
Whitinsville, MA 01588-1712
Phone (508) 243-0215
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306421 | Medicaid | MA | |
| 2220002001 | Other | MA | BCBS SUBSTANCE ABUSE |
| 1308785 | Medicaid | MA | |
| M18684 | Other | MA | BCBS MENTAL HEALTH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
425 Lake Ave N
Suite 101
Worcester, MA 01605-2073
Phone (508) 753-3220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6950 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psych Services, LLC | Current | Accepting new patients |
Locations
425 Lake Ave N
Ste 101
Worcester, MA 01605
Phone (508) 753-3220
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Worcester, MA
- NPI 1750648689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1821136235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 MAIN ST STE 6",
"city": "WHITINSVILLE",
"state": "MA",
"postal_code": "015881712",
"telephone_number": "508-243-0215",
"fax_number": "508-386-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 MAIN ST STE 6",
"city": "WHITINSVILLE",
"state": "MA",
"postal_code": "015881712",
"telephone_number": "508-243-0215",
"fax_number": "508-386-9745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUTIER",
"first_name": "DAVID",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6950",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306421",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS SUBSTANCE ABUSE",
"identifier": "2220002001",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1308785",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MENTAL HEALTH",
"identifier": "M18684",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitinsville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.