Individual provider Active NPI

Amy Grace Pereira, BA

  • Mental Health Counselor
  • Bridgewater, MA
National Provider Identifier
1891336996
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
460 Forest St
Bridgewater, MA 02324-2915
Phone
(508) 345-5642
NPI assigned
Oct 1, 2019
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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 NU Primary

Addresses

Primary practice location

460 Forest St
Bridgewater, MA 02324-2915

Mailing address

460 Forest St
Bridgewater, MA 02324-2915
Phone (508) 345-5642

Other practice location 1

460 Forest St
Bridgewater, MA 02324-2915
Phone (508) 345-5642

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
Credentials
Bachelor of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1891336996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 FOREST ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242915",
            "telephone_number": "508-345-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 FOREST ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242915",
            "telephone_number": "508-345-5642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Forest St",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "MA",
            "postal_code": "023242915",
            "country_code": "US",
            "telephone_number": "508-345-5642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "AMY",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.