Individual provider Active NPI

Francine M Licata

  • Counselor
  • Lee, MA
National Provider Identifier
1962775262
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
114559 Issued in MA
Practice address
11 Quarry Hill Road
Lee, MA 01238
Phone
(413) 243-0536
Fax
(413) 243-8040
NPI assigned
Feb 16, 2012
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 114559 MA Primary
Counselor 101Y00000X

Addresses

Primary practice location

11 Quarry Hill Road
Lee, MA 01238

Mailing address

P.O. Box 30
Great Barrington, MA 01230
Phone (413) 528-9311

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
I20140626000767 MA Practitioner - Clinical Social Worker 2668697137 Reassigns benefits to 1 organization
Practice locations: Stockbridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Quiet Knoll Rd
Stockbridge, MA 01262-7752
Phone (347) 721-8591

PO Box
Suite 1552
Stockbridge, MA 01262-1552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114559MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs, Inc. CurrentSince May 11, 2019 Accepting new patients

Locations

11 Quarry Hill Rd
Lee, MA 01238
Phone (413) 243-0536

Organizations & group practices 1

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": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1962775262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-9311",
            "fax_number": "413-644-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 QUARRY HILL ROAD",
            "city": "LEE",
            "state": "MA",
            "postal_code": "01238",
            "telephone_number": "413-243-0536",
            "fax_number": "413-243-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICATA",
        "first_name": "FRANCINE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "114559",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, MA

Sources for this page

Verify at the official NPI Registry.