Individual provider Active NPI

Erin Southerington

  • Mental Health Counselor
  • Holyoke, MA
National Provider Identifier
1831578442
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1233 Main St
Holyoke, MA 01040-5381
Phone
(413) 539-2468
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1233 Main St
Holyoke, MA 01040-5381

Mailing address

1233 Main St
Holyoke, MA 01040-5381

Other names 1

  • Erin Keough Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240719000504 MD Practitioner - Marriage and Family Therapist 1850837485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Counseling LLC CurrentSince Aug 4, 2024 Accepting new patients
Divine Counseling LLC CurrentSince Jul 9, 2024 Accepting new patients

Locations

90 Painters Mill Rd
Ste 135136
Owings Mills, MD 21117
Phone (443) 955-2662

1829 Reisterstown Rd
Ste 350
Pikesville, MD 21208
Phone (443) 226-1676

Organizations & group practices 2

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1831578442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381",
            "telephone_number": "413-539-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERINGTON",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "KEOUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.