Individual provider Active NPI

Melinda Asiamah

  • Mental Health Counselor
  • Stoughton, MA
National Provider Identifier
1902422736
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
414866 Issued in MA
Practice address
966 Park St Ste 2
Stoughton, MA 02072-3650
Phone
(781) 885-7530
Fax
(855) 284-1305
NPI assigned
Jun 17, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 414866 MA Primary

Addresses

Primary practice location

966 Park St Ste 2
Stoughton, MA 02072-3650

Mailing address

4 Frank Leary Way Unit 4
Randolph, MA 02368-4512
Phone (781) 885-7530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address masiamah@randolphbhs.com Health Information Exchange (HIE) Randolph Behavioral Health Services, Inc.

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

State licenses

LicenseStateTypeSpecialty
414866MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Behavioral Health Services, Inc. Mental Health CurrentSince Jun 21, 2020 Accepting new patients

Locations

4 Frank Leary Way
Unit 4
Randolph, MA 02368
Phone (781) 885-7530

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1902422736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FRANK LEARY WAY UNIT 4",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684512",
            "telephone_number": "781-885-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PARK ST STE 2",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-885-7530",
            "fax_number": "855-284-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIAMAH",
        "first_name": "MELINDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "414866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "masiamah@randolphbhs.com",
            "affiliation": "Y",
            "affiliationName": "Randolph Behavioral Health Services, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "966 Park St Ste 2",
            "city": "Stoughton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020723650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.