BILLIE F BIVINS (NPI# 1295748564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295748564 |
| Entity Type | Individual |
| Full Name | BILLIE F BIVINS |
| Credential | LMHC, LADC II, LCPC |
| Practice Address |
111 South St. Somerville MA 02143 |
| Mailing Address |
P.o. Box 380392 Cambridge MA 02138 |
| Practice Telephone | 6172845130 |
| Practice Fax Number | 6175910239 |
| Mailing Telephone | 2079859749 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2010-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | XL2658 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431665799 | 05 |
| Street Address |
111 SOUTH ST. |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083683759 | Daniel Dylan Sprintzen | Social Worker | 111 South St., Somerville, MA 02143 | 2006-03-15 |
| 1144502709 | Kara Elizabeth Gagnon | Social Worker | 111 South St., Somerville, MA 02143 | 2011-09-09 |
| 1407166119 | Jackie Johnson | Student in an Organized Health Care Education/Training Program | 111 South St., Somerville, MA 02143 | 2010-10-15 |
| 1043543861 | Randi E. Donnis | Student in an Organized Health Care Education/Training Program | 111 South St., Somerville, MA 02143 | 2009-09-11 |
| 1417101734 | Catherine Anne Mingrone | Counselor | 111 South St., Somerville, MA 02143 | 2008-11-13 |
| 1093987489 | Sara Lee-conroy Noone | Social Worker | 111 South St., Somerville, MA 02143 | 2008-03-26 |
| 1518140557 | Melissa A Wenzel | Marriage & Family Therapist | 111 South St., Somerville, MA 02143 | 2007-12-13 |
| 1336358381 | Amy Susanne Flick | Social Worker | 111 South St., Somerville, MA 02143 | 2007-05-22 |
| 1861614752 | Joyce Colman | Social Worker | 111 South St., Somerville, MA 02143 | 2007-05-02 |
| 1558582569 | Julie Ain | Social Worker | 111 South St., Somerville, MA 02143 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168417 | Ss Holdings, LLC | Counselor | 502 Flippin St, Somerville, TN 38068-1801 | 2020-09-15 |
| 1437799574 | Aliya M Gottehrer Cohen | Counselor | 19 Sewall St Apt 3r, Somerville, MA 02145-1959 | 2020-01-07 |
| 1952875312 | Cailin Mateleska | Counselor | 255 Elm St Ste 201, Somerville, MA 02144-2947 | 2019-01-17 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1013312578 | Michael Phillips Jr. | Counselor | 11 Ward St Ste 200, Somerville, MA 02143-4214 | 2014-10-27 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
| 1033480017 | Andrew W Bunyard | Counselor | 34 Calvin St, Unit 1, Somerville, MA 02143-4315 | 2012-01-23 |
| 1134401169 | Elizabeth Wright Crawford | Counselor | 28a Cherry St, Apt 1, Somerville, MA 02144-3204 | 2011-09-15 |
| 1699060939 | Brandon Michael Hager | Counselor | 39a Prescott St Apt 3, Somerville, MA 02143-1713 | 2011-06-15 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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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.