BAY STATE COUNSELING SERVICES, INC. (NPI# 1386923720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386923720 |
| Entity Type | Organization |
| Organization Name | BAY STATE COUNSELING SERVICES, INC. |
| Practice Address |
1717 Main St R Brockton MA 02301-7134 |
| Mailing Address |
1717-r Main Street Brockton MA 02301-7134 |
| Practice Telephone | 5088571466 |
| Practice Fax Number | 5088571725 |
| Mailing Telephone | 5088571466 |
| Mailing Fax Number | 5088571725 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |
| Authorized Official Name | DR. YANANTS ANTONEVICH (DIRECTOR) |
| Authorized Official Telephone | 5088571466 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1717 MAIN ST R |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255749289 | Bay State Medical Associates, PC | Psychiatry & Neurology | 1717 Main St, Brockton, MA 02301-7134 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023096864 | South Bay Mental Health Center, Inc. | Clinic/Center | 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 | 2006-01-03 |
| 1518526615 | Maureen Pontes | Clinic/Center | 56 Cherry St, Brockton, MA 02301-2608 | 2019-06-12 |
| 1144796491 | Healthy Male Institute | Clinic/Center | 425 Pleasant St, Brockton, MA 02301-2533 | 2018-10-15 |
| 1205316346 | Creativity Works Inc | Clinic/Center | 209 Quincy St, Brockton, MA 02302-2926 | 2018-08-17 |
| 1043441611 | Commonwealth of Ma, D/b/a Brockton Multi-service Center | Clinic/Center | 165 Quincy St, Brockton, MA 02302-2988 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356513 | Betterment Counseling | Clinic/Center | 556 Centre St Ste A, Middleboro, MA 02346-2162 | 2020-11-04 |
| 1962001651 | Mindful Matters LLC | Clinic/Center | 12 Jarvis Ln, North Attleboro, MA 02760-4313 | 2020-10-22 |
| 1497353130 | Handel Behavioral Health Services | Clinic/Center | 2 Master Dr Ste 1a, Franklin, MA 02038-3052 | 2020-10-14 |
| 1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
| 1710597406 | Bridge of Changes | Clinic/Center | 215 Berkshire Ave, Springfield, MA 01109-1638 | 2020-08-06 |
| 1457969297 | Starlight Counseling Services, Inc | Clinic/Center | 50 Elm St Unit D, Southbridge, MA 01550-2648 | 2020-07-17 |
| 1386262053 | 1a Wellness, LLC | Clinic/Center | 225 Main St Ste 4, Wenham, MA 01984-1459 | 2020-07-09 |
| 1528683596 | Aviv, LLC | Clinic/Center | 511 Old Fall River Rd, Dartmouth, MA 02747-1208 | 2020-06-15 |
| 1447872130 | Mindset Social Solutions Inc. | Clinic/Center | 79 Regis Rd Apt 1, Mattapan, MA 02126-1743 | 2020-05-15 |
| 1992325914 | Al Counseling | Clinic/Center | 300 Baker Ave Ste 300, Concord, MA 01742-2124 | 2020-04-20 |
| 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.