Individual provider Active NPI

Stephen Mathioudakis

  • Counselor
  • Fall River, MA
National Provider Identifier
1831504646
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
151 Rock St
Fall River, MA 02720-3201
Phone
(508) 678-7542
Fax
(508) 676-3699
NPI assigned
Jul 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

151 Rock St
Fall River, MA 02720-3201

Mailing address

101 Rock St
Fall River, MA 02720-3133
Phone (508) 678-7542

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240113000763 MA Practitioner - Mental Health Counselor 7618329731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Service Association of Greater Fall River IncGroup PAC ID 2567490709, 8 clinicians

Practice addresses (Care Compare)

151 Rock St
Fall River, MA 02720-3201
Phone (508) 678-7542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Association of Greater Fall River, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

151 Rock St
Fall River, MA 02720
Phone (508) 678-7542

101 Rock St
Fall River, MA 02720
Phone (508) 677-3822

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1831504646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203133",
            "telephone_number": "508-678-7542",
            "fax_number": "508-676-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203201",
            "telephone_number": "508-678-7542",
            "fax_number": "508-676-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIOUDAKIS",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.