Individual provider Active NPI

Harold Jackson Ayala Rodriguez

  • Mental Health Counselor
  • Plymouth, MA
National Provider Identifier
1922691914
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW229300 Issued in MA
Practice address
57 Obery St Ste 1
Plymouth, MA 02360-2480
Phone
(774) 205-2857
NPI assigned
Feb 19, 2021
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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 LCSW229300 MA Primary

Addresses

Primary practice location

57 Obery St Ste 1
Plymouth, MA 02360-2480

Mailing address

77 Mill St Ste 229
Westfield, MA 01085-4285
Phone (413) 326-6318

Other practice location 1

77 Mill St Ste 229
Westfield, MA 01085-4285
Phone (413) 326-6318

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
I20260508000179 MA Practitioner - Clinical Social Worker 5698243517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emdr Therapy Solutions and Wellness LLCGroup PAC ID 0042734485, 4 clinicians

Practice addresses (Care Compare)

2277 State Rd
Unit D
Plymouth, MA 02360-7111
Phone (774) 205-2857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW229300MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emdr Therapy Solutions and Wellness LLC Mental Health CurrentSince Mar 31, 2026 Accepting new patients

Locations

2277 State Rd
Unit D
Plymouth, MA 02360
Phone (508) 266-5971

Organizations & group practices 2

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1922691914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MILL ST STE 229",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854285",
            "telephone_number": "413-326-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 OBERY ST STE 1",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602480",
            "telephone_number": "774-205-2857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Mill St Ste 229",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "MA",
            "postal_code": "010854285",
            "country_code": "US",
            "telephone_number": "413-326-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA RODRIGUEZ",
        "first_name": "HAROLD",
        "middle_name": "JACKSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-19",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LCSW229300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.