Individual provider Active NPI

Alison Sarah Medeiros

  • Counselor
  • Swansea, MA
National Provider Identifier
1851819247
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
25 Market St Ste 14
Swansea, MA 02777-3998
Phone
(508) 812-0120
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

25 Market St Ste 14
Swansea, MA 02777-3998

Mailing address

48 Old County Rd
Westport, MA 02790-1120

Other practice location 1

48 Old County Rd
Westport, MA 02790-1120
Phone (508) 496-0645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Bloom Counseling LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

25 Market St
Ste 14
Swansea, MA 02777
Phone (401) 486-5234

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1851819247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 OLD COUNTY RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027901120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARKET ST STE 14",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773998",
            "telephone_number": "508-812-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Old County Rd",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "MA",
            "postal_code": "027901120",
            "country_code": "US",
            "telephone_number": "508-496-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "ALISON",
        "middle_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.