ELLEN A ALFARO
NPI 1194890111
Counselor - Mental Health in Natick, MA

NPI Status: Active since November 22, 2006

Contact Information

154 E CENTRAL ST
SUITE 205
NATICK, MA
ZIP 01760
Phone: (508) 651-3845

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Opted-Out Medicare

About ELLEN ALFARO

This page provides the complete NPI Profile along with additional information for Ellen Alfaro, a provider established in Natick, Massachusetts with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1194890111 assigned on November 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 1379 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1194890111
Provider Name
ELLEN A ALFARO
Gender
Female
Entity Type
Individual
Location Address
154 E CENTRAL ST SUITE 205 NATICK, MA 01760
Location Phone
(508) 651-3845
Mailing Address
6 ABBOTT RD NATICK, MA 01760
Mailing Phone
(508) 650-9582
Is Sole Proprietor?
Yes
Enumeration Date
11-22-2006
Last Update Date
07-08-2007
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A mental health counselor like Ellen Alfaro provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ellen Alfaro opted out of Medicare effective on 12-03-2024 until 12-03-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
1379
License State
MA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • NH Local Choice HMO Bronze 8000 - HMO
  • NH Local Choice HMO Gold - HMO
  • NH Local Choice HMO Gold 1400 - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 - HMO
  • NH Local Choice HMO Silver 5000 - HMO
  • NH Local HMO Bronze 7500 Standard - HMO
  • NH Local HMO Gold 1500 Standard - HMO
  • NH Local HMO Silver 5000 Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 12-03-2024

  • Opt-Out End Date: 12-03-2026

  • Eligible to Order and Refer? No

Reviews for ELLEN A ALFARO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194890111
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184169012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 6 + 9 + 0 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1194890111 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366507691DR. MURRAY R MACUMBER DC
Individual
Chiropractor154 E CENTRAL ST SUITE 301
NATICK, MA 01760
(508) 650-3907
1518002211DR. GRETCHEN L SCHMELZER
Individual
Psychologist154 E CENTRAL ST SUITE 304
NATICK, MA 01760
(508) 647-6283
1992947188DR. MELVIN A RABIN ED.D
Individual
Psychologist154 E CENTRAL ST SUITE 304A
NATICK, MA 01760
(508) 647-9900
1871926832THE TRAINOR CENTER FOR COGNITIVE BEHAVIORAL THERAPY, LLC
Organization
Psychologist (Cognitive & Behavioral)154 E CENTRAL ST STE. 201A
NATICK, MA 01760
(508) 647-1644
1306271531 JUDY GROB WHITING MSW
Individual
Social Worker (Clinical)154 E CENTRAL ST STE 201A
NATICK, MA 01760
(508) 647-1644
1083631907DR. DANIELE BICK M.D.
Individual
Psychiatry & Neurology (Psychiatry)154 E CENTRAL ST STE 204
NATICK, MA 01760
(508) 872-4813
1801332358DR. REBECCA LOUISE CRANE PSY.D.
Individual
Psychologist154 E CENTRAL ST
NATICK, MA 01760
(508) 647-1644
1669911145 JENNIFER HULL
Individual
Social Worker (Clinical)154 E CENTRAL ST 201A
NATICK, MA 01760
(508) 647-1644
1073992780NESC METROWEST, LLC
Organization
Dermatology (MOHS-Micrographic Surgery)154 E CENTRAL ST 3RD FLOOR
NATICK, MA 01760
(978) 244-0060
1447643762MAKING WAY COUNSELTATION P.C.
Organization
Psychologist (Clinical)154 E CENTRAL ST SUITE 201
NATICK, MA 01760
(978) 604-5561
1710469358 JOYCE SARET
Individual
Social Worker154 E CENTRAL ST
NATICK, MA 01760
(508) 647-1644

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194890111, enumerated in the NPI registry as an "individual" on November 22, 2006

The provider is located at 154 E Central St Suite 205 Natick, Ma 01760 and the phone number is (508) 651-3845

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

No, the provider signed an affidavit on December 03, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 03, 2026.

This NPI record was last updated on November 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.