Individual provider Active NPI

Rhea M Koch-Sultan, L.I.C.S.W.

  • Social Worker
  • Burlington, MA
National Provider Identifier
1912194036
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
212181 Issued in MA
Practice address
55 Cambridge Street
Suite 201
Burlington, MA 01803-4612
Phone
(781) 221-3180
Fax
(781) 221-3183
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 212181 MA Primary

Addresses

Primary practice location

55 Cambridge Street
Suite 201
Burlington, MA 01803-4612

Mailing address

55 Cambridge Street
Suite 201
Burlington, MA 01803-4612
Phone (781) 221-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20120301000031 MA Practitioner - Clinical Social Worker 3072771526 Reassigns benefits to 3 organizations
Practice locations: Burlington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

310 Barnstable Rd
Suite 201
Hyannis, MA 02601-2902
Phone (508) 862-0514

645 Broadway
Somerville, MA 02145-2528
Phone (781) 303-4763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
212181MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC CurrentSince Dec 24, 2024 Accepting new patients
Northeast Health Services, LLC CurrentSince Jul 1, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. PastSince Oct 1, 2023 Accepting new patients

Locations

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1912194036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CAMBRIDGE STREET",
            "address_2": "SUITE 201",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034612",
            "telephone_number": "781-221-3180",
            "fax_number": "781-221-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CAMBRIDGE STREET",
            "address_2": "SUITE 201",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034612",
            "telephone_number": "781-221-3180",
            "fax_number": "781-221-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH-SULTAN",
        "first_name": "RHEA",
        "middle_name": "M",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "212181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.