Individual provider Active NPI

Erica Gwen Debartolo, MA

  • Counselor
  • Needham, MA
National Provider Identifier
1942944095
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1968 Central Ave
Needham, MA 02492-1410
Phone
(774) 567-3682
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1968 Central Ave
Needham, MA 02492-1410

Mailing address

1968 Central Ave
Needham, MA 02492-1410
Phone (774) 567-3682

Other practice location 1

384 Washington St
Norwell, MA 02061-2010
Phone (781) 871-6550

Other practice location 2

225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900
Phone (781) 492-5710

Other practice location 3

225 Foxborough Blvd
Foxborough, MA 02035-3062
Phone (508) 901-4685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1942944095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 CENTRAL AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024921410",
            "telephone_number": "774-567-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 CENTRAL AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024921410",
            "telephone_number": "774-567-3682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "384 Washington St",
            "address_purpose": "LOCATION",
            "city": "Norwell",
            "state": "MA",
            "postal_code": "020612010",
            "country_code": "US",
            "telephone_number": "781-871-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Cedar Hill St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "017525900",
            "country_code": "US",
            "telephone_number": "781-492-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Foxborough Blvd",
            "address_purpose": "LOCATION",
            "city": "Foxborough",
            "state": "MA",
            "postal_code": "020353062",
            "country_code": "US",
            "telephone_number": "508-901-4685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBARTOLO",
        "first_name": "ERICA",
        "middle_name": "GWEN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.