Stoughton Counseling Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STOUGHTON COUNSELING INC

Practice address

1044 Central St Ste 202
Stoughton, MA 02072-4423

Phone

(781) 975-2185

Fax

(781) 341-4489

NPI assigned

Feb 28, 2019

Organization subpart

No

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

Authorized official

Name

Peter Costa

Title

President

Phone

(617) 290-2795

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine J Block-Pellegrini

  • Mental Health Counselor
  • Medford, MA
  • NPI 1366612244
  Medicare reassignment Care Compare group NPD
• Edward Justin Modestino, PH.D.

  • Mental Health Counselor
  • South Easton, MA
  • NPI 1467064972
  Medicare reassignment Care Compare group NPD
• Monique C. Tasker, LCSW

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1114209905
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1912464603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 CENTRAL ST STE 202",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724423",
            "telephone_number": "781-975-2185",
            "fax_number": "781-341-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 CENTRAL ST STE 202",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724423",
            "telephone_number": "781-975-2185",
            "fax_number": "781-341-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUGHTON COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-290-2795"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stoughton Dental Group, LLC
• Stoughton Dentistry, LLC
• Stoughton Massage Therapy, Inc
• Stoughton Nursing LLC
• Stoughton Opco, LLC

• Mental Health Counselor in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.