MR. DONALD COOMBS JR. (NPI# 1619184058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619184058 |
Entity Type | Individual |
Full Name | MR. DONALD COOMBS JR. |
Credential | CAGS, LADC |
Practice Address |
1200 Converse St Longmeadow MA 01106-1760 |
Mailing Address |
Po Box 245 Hampden MA 01036-0245 |
Practice Telephone | 4135655121 |
Practice Fax Number | 4135655121 |
Mailing Telephone | 4135655121 |
Mailing Fax Number | 4135655121 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000646 | CT | Behavioral Health & Social Service Providers |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
537 | MA | Behavioral Health & Social Service Providers |
Street Address |
1200 CONVERSE ST |
City | LONGMEADOW |
State | MA |
Zip Code | 01106-1760 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851372247 | Thomas A. Lachiusa | Social Worker | 1200 Converse St, Converse Professional Building, Longmeadow, MA 01106-1760 | 2005-11-11 |
1679107957 | Matthew Riley, Lmhc | Counselor | 1200 Converse St, Longmeadow, MA 01106-1675 | 2020-02-26 |
1104476613 | Am Medical PC | Internal Medicine | 1200 Converse St, Longmeadow, MA 01106-1675 | 2019-09-17 |
1891127668 | Amanda Derby | Marriage & Family Therapist | 1200 Converse St, Longmeadow, MA 01106-1675 | 2013-08-05 |
1407123300 | Kelly Trombly-bujnicki | Social Worker | 1200 Converse St, Suite 202, Longmeadow, MA 01106-1675 | 2011-11-20 |
1417184698 | Nicole C. Esposito | Counselor | 1200 Converse St, # 3l, Longmeadow, MA 01106-1675 | 2009-06-16 |
1437328036 | Joseph P. Critelli | Counselor | 1200 Converse St, Longmeadow, MA 01106-1760 | 2008-02-27 |
1265648398 | Richard K Fleming | Social Worker | 1200 Converse St, Suite 201, Longmeadow, MA 01106-1760 | 2007-05-15 |
1821167776 | Kimberlee Margeson Green | Counselor | 1200 Converse St, 201, Longmeadow, MA 01106-1760 | 2006-11-07 |
1316048549 | Patricia Peters Martin | Psychologist | 1200 Converse St, Suite 202, Longmeadow, MA 01106-1760 | 2006-09-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831797646 | Paula Arrigg | Counselor | 175 Dwight Road, Longmeadow, MA 01106 | 2020-10-14 |
1003429010 | Optimal Therapy Solutions, LLC | Clinic/Center | 127 Bel Air Drive, Longmeadow, MA 01106 | 2020-08-28 |
1164840666 | Erin Feller | Pediatrics | 123 Dwight Rd., Longmeadwod, MA 01106 | 2014-04-01 |
1255611299 | Christina Rose Lalime | Community Health Worker | 206 Bel Air Dive, Longmeadow, MA 01106 | 2011-08-22 |
1851503742 | Andrew M. Oxman | Counselor | 1200 Converse Street, Longmeadow, MA 01106 | 2007-05-04 |
1093833048 | Lilly Gaev | Social Worker | Therapeutic Associates PC, 167 Dwight Rd #104, Longmeadow, MA 01106 | 2007-03-27 |
1093840530 | Julie A Cox | Psychologist | 167 Dwight Rd #104, Therapeutic Associates PC, Longmeadow, MA 01106 | 2007-02-23 |
1932252897 | Karen Elizabeth Marsian | Podiatrist | 123 Dwight Road, Suite 13 W1, Longmeadow, MA 01106 | 2007-01-22 |
1386700227 | Visions of Longmeadow | Eyewear Supplier (Equipment, not the service) | 471 Longmeadow Street, Visions of Longmeadow, Longmeadow, MA 01106 | 2006-12-28 |
1437226701 | Richard T. Longo | Psychologist | 167 Dwight Road, Suite #104, Longmeadow, MA 01106 | 2006-11-29 |
Find all providers in zip 01106 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073822979 | Alexandra Kraewer | Counselor | 42 Elm Ave, Longmeadow, MA 01106-3115 | 2010-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366042996 | Lisa Mcmanus | Counselor | 365 East St # C-2, Tewksbury, MA 01876-1950 | 2020-11-01 |
1770183634 | Lilian Emefiele | Counselor | 34 Gilfford St., New Bedford, MA 02744 | 2020-10-29 |
1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
1649879834 | Charles Skoler | Counselor | 15 Colborne Rd Apt 8, Brighton, MA 02135-4843 | 2020-10-20 |
1669070553 | Tayla Legrand | Counselor | 100 Autumn Ln, Tewksbury, MA 01876-5500 | 2020-10-13 |
1467050534 | Veronica Grace Lebeau-bushee | Counselor | 34 Salem End Rd Apt 19b, Framingham, MA 01702-2490 | 2020-10-12 |
1558969840 | Revive Counseling and Wellness Center | Counselor | 388 Pleasant St Ste 201a, Malden, MA 02148-8143 | 2020-10-09 |
1215544507 | James Piantedosi | Counselor | 273 Middle St, Braintree, MA 02184-4822 | 2020-09-30 |
1447867916 | Christopher Jones | Counselor | 82 Graham St, Gardner, MA 01440-3858 | 2020-09-28 |
1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
Find all providers with the same taxonomy |
City | LONGMEADOW |
Zip Code | 01106 |
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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.