BLACKBIRD COUNSELING (NPI# 1235746546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235746546 |
Entity Type | Organization |
Organization Name | BLACKBIRD COUNSELING |
Practice Address |
5 Main Street Ext Ste 303 Plymouth MA 02360-3390 |
Practice Telephone | 3392355116 |
Mailing Telephone | 3392355116 |
Enumeration Date | 2020-09-30 |
Last Update Date | 2020-09-30 |
Authorized Official Name | JUSTINE CARLUCCI (CO-OWNER) |
Authorized Official Telephone | 3392355116 |
Authorized Official Credential | MS, LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 221700000X | Art Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | BLACKBIRD COUNSELING LCSW, PLLC | 40 Maple Terrace, North Tonawanda, Ny 14120 |
Oregon Corporations, Companies and Business Names | BLACKBIRD COUNSELING LLC | 510 Sw 3rd Ave Ste 200, Portland, OR 97204 |
Washington State Corporations | BLACKBIRD COUNSELING SERVICES, PLLC | 2326 Rucker Ave Ste 303, Everett, WA 98201-2723 |
Colorado Business Entities | Blackbird Counseling, LLC | 1640 Logan Street, Denver, CO 80203 |
Street Address |
5 MAIN STREET EXT STE 303 |
City | PLYMOUTH |
State | MA |
Zip Code | 02360-3390 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700444635 | Abstract Therapy LLC. | Counselor | 5 Main Street Ext Ste 303, Plymouth, MA 02360-3390 | 2019-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
Find all providers in zip 02360 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174124648 | Sedonia Counseling Services, LLC | Counselor | 10812 Cardinal Cir, Plymouth, IN 46563-7968 | 2020-11-02 |
1992329676 | Ann Kowalski | Counselor | 1259 Old Sandwich Rd, Plymouth, MA 02360-2516 | 2020-05-29 |
1497378780 | Juli Lynn Sneider | Counselor | 23 South St Apt 5, Plymouth, MA 02360-2984 | 2020-05-21 |
1588218440 | Kyle Hochstin | Counselor | 5 Jacobs Ladder, Plymouth, MA 02360-2115 | 2019-07-30 |
1700444635 | Abstract Therapy LLC. | Counselor | 5 Main Street Ext Ste 303, Plymouth, MA 02360-3390 | 2019-06-05 |
1902360209 | Shari Cimino Pllc | Counselor | 42225 Ann Arbor Rd E, Plymouth, MI 48170-4364 | 2019-01-31 |
1699243667 | Macayla Kelley | Counselor | 70 Ellisville Grn, Plymouth, MA 02360-1742 | 2018-11-08 |
1023593605 | Gail Baran Good | Counselor | 13896 Covington Dr, Plymouth, MI 48170-2449 | 2018-09-28 |
1972085066 | Brandon Welch | Counselor | 12 Anchor Dr, Plymouth, MA 02360-3202 | 2018-09-05 |
1609393842 | Kathleen Morton Hicks | Counselor | 64 Industrial Park Rd Ste B, Plymouth, MA 02360-4881 | 2017-08-28 |
Find all providers in PLYMOUTH |
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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.