Active NPI
Marinieves Ouellette
- Mental Health Counselor
- Milford, MA
National Provider Identifier
1821589060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 25 Birch St Ste 250
Milford, MA 01757 - Phone
- (774) 804-3376
- Fax
- (508) 634-4345
- NPI assigned
- May 23, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
25 Birch St Ste 250
Milford, MA 01757
Mailing address
14 Asylum St
Milford, MA 01757-2203
Phone (508) 488-2200
Other practice location 1
25 Birch St Ste 250
Milford, MA 01757
Phone (774) 804-3376
Other names 1
- Ms. Marinieves Del Valle Pico
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1821589060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ASYLUM ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017572203",
"telephone_number": "508-488-2200",
"fax_number": "508-634-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BIRCH ST STE 250",
"city": "MILFORD",
"state": "MA",
"postal_code": "01757",
"telephone_number": "774-804-3376",
"fax_number": "508-634-4345"
}
],
"practiceLocations": [
{
"address_1": "25 Birch St Ste 250",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "MA",
"postal_code": "01757",
"country_code": "US",
"telephone_number": "774-804-3376",
"fax_number": "508-634-4345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OUELLETTE",
"first_name": "MARINIEVES",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARINIEVES",
"last_name": "DEL VALLE PICO",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.