Individual provider Active NPI

Gwen J Rahilly, M.S.

  • Mental Health Counselor
  • Springfield, MA
National Provider Identifier
1912046376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4227 Issued in MA
Practice address
235 Chestnut St
Springfield, MA 01103-1100
Phone
(413) 734-4978
Fax
(413) 734-0467
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4227 MA Primary

Addresses

Primary practice location

235 Chestnut St
Springfield, MA 01103-1100

Mailing address

16 Colony LN
Feeding Hills, MA 01030-1404
Phone (413) 734-4978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • 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
I20240104001477 MA Practitioner - Mental Health Counselor 5799136776 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network Inc CurrentSince Jan 1, 2024 Accepting new patients
Behavioral Health Network, Inc CurrentSince Jan 1, 2024 Accepting new patients
Center for Human Development, Inc CurrentSince Jan 1, 2024 Accepting new patients
Center for Human Development, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Massachusetts Society for the Prevention of Cruelty to Children Past Accepting new patients

Locations

40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

417 Liberty St
Springfield, MA 01104
Phone (413) 733-6661

Organizations & group practices 5

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912046376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COLONY LN",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010301404",
            "telephone_number": "413-734-4978",
            "fax_number": "413-734-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031100",
            "telephone_number": "413-734-4978",
            "fax_number": "413-734-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHILLY",
        "first_name": "GWEN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.