Active NPI
Wilmington Family Counseling Service Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilmington, MA
National Provider Identifier
1922043447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- WILMINGTON FAMILY COUNSELING SERVICE INC
- Practice address
- 5 Middlesex Ave
Suite 11 Wilmington Family Counseling Service Inc
Wilmington, MA 01887 - Phone
- (978) 658-9889
- Fax
- (978) 658-5695
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carol Marie Golub, PHD
- Title
- Executive Director
- Phone
- (978) 658-9889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
5 Middlesex Ave
Suite 11 Wilmington Family Counseling Service Inc
Wilmington, MA 01887
Mailing address
5 Middlesex Ave
Suite 11
Wilmington, MA 01887
Phone (978) 658-9889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040430001145 | MA | Part B Supplier - Clinic/Group Practice | 8527056431 |
Receives reassigned benefits from 18 practitioners Practice locations: Wilmington, MA |
National Provider Directory
National Provider DirectoryLocations
5 Middlesex Ave
Unit 11
Wilmington, MA 01887
Phone (978) 658-9889
Practitioners & affiliated clinicians
Practitioners 49
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922043447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MIDDLESEX AVE",
"address_2": "SUITE 11",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "01887",
"telephone_number": "978-658-9889",
"fax_number": "978-658-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MIDDLESEX AVE",
"address_2": "SUITE 11 WILMINGTON FAMILY COUNSELING SERVICE INC",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "01887",
"telephone_number": "978-658-9889",
"fax_number": "978-658-5695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILMINGTON FAMILY COUNSELING SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOLUB",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "978-658-9889",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, MA
- Robert Patrick Williamson, MD
- Willow Brook Operator LLC
- Wilmington Dental Group, PC
- Wilmington Eye Group, Inc.
- Wilmington Family Chiropractic and Wellness Center, Inc.
- Wilmington Family Dental
- Wilmington Family Dental PC
- Wilmington Pediatrics, Inc.
- Wilmington Rehab Center LLC
- Wilminton Public Schools
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.