INDIVIDUAL AND FAMILY COUNSELING CENTER, LLC (NPI# 1699930370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699930370 |
| Entity Type | Organization |
| Organization Name | INDIVIDUAL AND FAMILY COUNSELING CENTER, LLC |
| Practice Address |
200 Silver Street 106 Agawam MA 01001-1647 |
| Practice Telephone | 4137899198 |
| Practice Fax Number | 4137896322 |
| Mailing Telephone | 4137899198 |
| Mailing Fax Number | 4137896322 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2009-02-16 |
| Authorized Official Name | MRS. CRISTINA DI NARDO-DUPRE (SOCIAL WORKER/OWNER) |
| Authorized Official Telephone | 4137899198 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
106947 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 791017 | 01 |
| MA | HEALTH NEW ENGLAND | 11831 | 01 |
| MA | BC/BS | P04545 | 01 |
| Street Address |
200 SILVER STREET 106 |
| City | AGAWAM |
| State | MA |
| Zip Code | 01001-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952369175 | Sharon Anne Macmillan | Obstetrics & Gynecology | 200 Silver Street, Suite 214, Agawam, MA 01001 | 2006-05-04 |
| 1730327131 | Deborah Merriman | Counselor | 200 Silver Street, 106, Agawam, MA 01001-1647 | 2009-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940393 | Bryan Christopher Forbes | Pharmacist | 287 Springfield Street, Cvs Pharmacy, Agawam, MA 01001 | 2020-04-08 |
| 1497235568 | Nancy Carley | Physical Therapist | 1200 Suffield Street, Agawam, MA 01001 | 2018-08-18 |
| 1568813293 | Cornerstone Kids Dentistry | Dentist | 332 Suffield Sreet, Agawam, MA 01001 | 2016-06-23 |
| 1881001881 | Friends 4 Life LLC | Home Health | 650 Suffield Street, Agawam, MA 01001 | 2014-07-22 |
| 1306065792 | Alfred Louis Caron | Speech-Language Pathologist | Tender Loving Care, 67 Hunt St Suite 102, Agawam, MA 01001 | 2007-04-24 |
| 1497870935 | Maureen Clare Reynolds | Physical Therapy Assistant | 62 Cooper St, Agawam, MA 01001 | 2007-03-21 |
| 1700958857 | Agawam Medical Supply Corp | Prosthetic/Orthotic Supplier | 56 Abrams Drive, Agawam, MA 01001 | 2006-11-14 |
| 1356389167 | Michael Stephen Haynes | Podiatrist | 200 Silver St., Suite 215, Agawam, MA 01001 | 2006-06-03 |
| 1275593758 | Internal Medicine PC | Internal Medicine | 377 Walnut Street Extension, Agawam, MA 01001 | 2006-03-27 |
| 1184601635 | Carolyn M Beggs | Nurse Practitioner | 65 Cooper St, Agawam, MA 01001 | 2005-12-27 |
| Find all providers in zip 01001 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205278744 | Kristen Ann Kocot | Counselor | 58 Plantation Dr, Agawam, MA 01001-3236 | 2013-07-25 |
| 1972767838 | Leona Lafleur | Counselor | 154 Walnut St, Agawam, MA 01001-1411 | 2008-07-10 |
| 1730236225 | David Jeffrey Maisey | Counselor | 335 Walnut Street Ext, Suite 200, Agawam, MA 01001-1660 | 2007-01-05 |
| 1841530839 | Deborah Hunter, Lmhc | Counselor | 335 Walnut Street Ext Ste 200, Agawam, MA 01001-1657 | 2013-02-27 |
| 1063727170 | Theresa M Vincent | Counselor | 200 Silver St, Unit 106, Agawam, MA 01001-3065 | 2010-08-12 |
| 1205073749 | Jason Christian Ravizza | Counselor | 200 Silver St., (agawam Crossing) Suite 106, Agawam, MA 01001 | 2009-01-20 |
| 1114183944 | Joanne E Craig-nelson | Counselor | 200 Silver St, Agawam Crossing, Agawam, MA 01001 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596703 | Courtney Rose Bieda | Counselor | 1340 Washington St Apt 3, Weymouth, MA 02189-2360 | 2020-10-21 |
| 1023617339 | Meghan Earle | Counselor | 1354 Hancock St Ste 214, Quincy, MA 02169-5109 | 2020-10-19 |
| 1104425420 | Mindful Path Therapy LLC | Counselor | 163 Highland Ave # 1057, Needham, MA 02494-3025 | 2020-10-19 |
| 1184222531 | Antoinett Gomes | Counselor | 11 Battles St Apt 3, Brockton, MA 02301-2236 | 2020-10-16 |
| 1710585252 | Andrada Mihaila | Counselor | 120 Maple St Ste 301, Springfield, MA 01103-2216 | 2020-10-16 |
| 1780282335 | Susan Warren | Counselor | Martha's Vineyard Community Services, 111 Edgartown Rd, Oak Bluffs, MA 02557 | 2020-10-15 |
| 1831797646 | Paula Arrigg | Counselor | 175 Dwight Road, Longmeadow, MA 01106 | 2020-10-14 |
| 1790383693 | Bowlight Partners LLC | Counselor | 32 Edgewood Rd, Lexington, MA 02420-3500 | 2020-10-13 |
| 1316545510 | Leonard Paul Dagesse | Counselor | 51 Gladstone St, Brockton, MA 02302-3338 | 2020-10-12 |
| 1659979847 | Melina Canter | Counselor | 581 Pleasant St Apt 2r, Holyoke, MA 01040-2368 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.