Active NPI
Elisangela H Freire
- Mental Health Counselor
- Taunton, MA
National Provider Identifier
1881308690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 69 Middleboro Ave Apt 1
Taunton, MA 02780-3807 - Phone
- (617) 445-6655
- NPI assigned
- Jan 6, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
69 Middleboro Ave Apt 1
Taunton, MA 02780-3807
Mailing address
504 Dudley St
Roxbury, MA 02119-2732
Phone (617) 445-6655
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | alcidesisa@gmail.com | Health Information Exchange (HIE) |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Services of Roxbury | Mental Health | Current | Accepting new patients |
Locations
504 Dudley St
Roxbury, MA 02119
Phone (617) 445-6655
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 Counselor
- Roxbury, MA
- NPI 1669107678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1881308690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 DUDLEY ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021192732",
"telephone_number": "617-445-6655",
"fax_number": "617-749-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 MIDDLEBORO AVE APT 1",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803807",
"telephone_number": "617-445-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIRE",
"first_name": "ELISANGELA",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "alcidesisa@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "69 Middleboro Ave Apt 1",
"city": "Taunton",
"state": "MA",
"country_code": "US",
"postal_code": "027803807",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.