EAST SIDE COUNSELING SERVICES, LLC
NPI 1902141179
Social Worker - Clinical in Fall River, MA

Active since November 29, 2012
1311 BEDFORD ST, FALL RIVER, MA 02723(508) 567-1477(508) 567-6494 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About East Side Counseling Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST SIDE COUNSELING SERVICES, LLC (NPI 1902141179) is a healthcare organization registered as a clinical in Fall River, Massachusetts and active in the NPI registry since November 2012. The organization lists Mary R. Cruz, Manager, as its authorized official.

NPPES Registry Identity

NPI1902141179
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEAST SIDE COUNSELING SERVICES, LLC
Location Address1311 BEDFORD STFall River, MA 02723-2637
Mailing Address1311 Bedford St.Fall Rive, Ma, MA 02723 · (508) 567-1477 · Fax (598) 567-6494
Fax(508) 567-6494
Organization SubpartNo
Authorized OfficialMary R. CruzManager · (508) 567-1477
Enumeration DateNovember 29, 2012
Last NPPES UpdateAugust 1, 2013
✔ NPI 1902141179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 1028438
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1311 BEDFORD ST, Fall River, MA 02723

Other Identifiers 1

Medicare PIN002028201MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Side Counseling Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20130204000442Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to East Side Counseling Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1922362458
25 ACACIA ST
Fall River, MA 02720
(508) 677-2621
✔ PECOS✔ Accepts Medicare0.8 mi
Clinical Social Worker
NPI 1265592364
323 COURT ST
Plymouth, MA 02360
(508) 747-2718
✔ PECOS✔ Accepts Medicare30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Side Counseling Services, LLC's NPI number?

The NPI number for East Side Counseling Services, LLC is 1902141179. It was assigned to this organization in the NPPES registry on November 29, 2012.

Where is East Side Counseling Services, LLC located?

East Side Counseling Services, LLC is located at 1311 Bedford St, Fall River, MA 02723. The listed phone number is (508) 567-1477.

What is East Side Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is East Side Counseling Services, LLC enrolled in Medicare?

Yes. East Side Counseling Services, LLC is registered in the Medicare PECOS enrollment system.

When is East Side Counseling Services, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through East Side Counseling Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to East Side Counseling Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for East Side Counseling Services, LLC was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.