MEDICARE: MRS. JOAN CAROLYN ROBIN MA LMHC CRC LRC CH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225C00000X	Rehabilitation Counselor	31	MA
2	101YM0800X	Mental Health Counselor	592	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2205191	OTHER	MA	CIGNA
2	776776000	OTHER	MA	MAGELLAN
3	118204	OTHER		VALUE OPTIONS
4	118204	OTHER		TRI CARE
5	180909	OTHER	MA	MHN
6	LM0025	OTHER	MA	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225129885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOAN CAROLYN ROBIN MA LMHC CRC LRC CH

Provider Business Mailing Address
First Line	:	135 MENDON ST
Second Line	:
City	:	BLACKSTONE
State	:	MA
Zip	:	01504
Country	:	US
Telephone Number	:	508-883-4673
Fax Number	:	508-883-0401

Provider Business Practice Location Address
First Line	:	61 MAIN ST
Second Line	:
City	:	BLACKSTONE
State	:	MA
Zip	:	01504
Country	:	US
Telephone Number	:	508-883-4673
Fax Number	:	508-883-0401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	05/09/2013

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