Individual provider Active NPI

Rachelann Friederick

  • Counselor
  • Pittsfield, MA
National Provider Identifier
1982238176
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
359 Fenn St
Pittsfield, MA 01201-5261
Phone
(413) 499-0412
Fax
(413) 448-2198
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

359 Fenn St
Pittsfield, MA 01201-5261

Mailing address

359 Fenn St
Pittsfield, MA 01201-5261
Phone (413) 499-0412

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
I20240425004050 MA Practitioner - Clinical Social Worker 4183064041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Brien Center for Mental Health and Substance Abuse Services Inc. CurrentSince Apr 3, 2024 Accepting new patients

Locations

334 Fenn St
Fl 1
Pittsfield, MA 01201

333 East St
Pittsfield, MA 01201
Phone (413) 629-1125

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1982238176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 FENN ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015261",
            "telephone_number": "413-499-0412",
            "fax_number": "413-448-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 FENN ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015261",
            "telephone_number": "413-499-0412",
            "fax_number": "413-448-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDERICK",
        "first_name": "RACHELANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.