Individual provider Active NPI

Patricia Ann Canestro, MASTERS IN COUSELING

  • Mental Health Counselor
  • Northampton, MA
National Provider Identifier
1942347968
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5853 Issued in MA
Practice address
70 Main Street
70 Main Street Suite 2
Northampton, MA 01060-1470
Phone
(650) 242-2449
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 42188 CA
Mental Health Counselor 101YM0800X 5853 MA Primary

Addresses

Primary practice location

70 Main Street
70 Main Street Suite 2
Northampton, MA 01060-1470

Mailing address

70 Main
Main Street Suite 2
Northampton, MA 01060-1470
Phone (650) 242-2449

Other identifiers 1

IdentifierTypeStateIssuer
LICENSE NUMBER 42188OtherCAMARRIAGE FAMILY THERAPIST

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
I20260612003267 MA Practitioner - Mental Health Counselor 9739651498 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

70 Main St
Suite 2
Northampton, MA 01060-1470
Phone (650) 242-2449

PO Box
Suite 80563
Springfield, MA 01138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1942347968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN",
            "address_2": "MAIN STREET SUITE 2",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010601470",
            "telephone_number": "650-242-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN STREET",
            "address_2": "70 MAIN STREET SUITE 2",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010601470",
            "telephone_number": "650-242-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANESTRO",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MASTERS IN COUSELING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42188",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE FAMILY THERAPIST",
            "identifier": "LICENSE NUMBER 42188",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.