Active NPIIndividual providerSole proprietor

Dr. Edward J Modestino, PHD

Counselor, Mental Health in South Easton, Massachusetts

NPI Number1467064972
Practice location
8 Meadowbrook Ln, South Easton, MA 02375-1289
Fax
—
Last updated
June 16, 2026

Edward Justin Modestino is a Counselor, Mental Health based in South Easton, MA. Edward Justin Modestino practices in South Easton, MA and has the professional credentials of PHD. The NPI Number for Edward Justin Modestino is 1467064972 and holds a License No. LMHC10002001 (MA). The current practice location address for Edward Justin Modestino is 8 Meadowbrook Ln, South Easton, MA 02375-1289 and can be reached out via phone at 508-258-9703.

Provider Profile Details

NPI Number
1467064972
Provider Name
Edward Justin Modestino
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
8 Meadowbrook Ln, South Easton, MA 02375-1289
Phone Number
508-258-9703
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 18, 2020
Last Update Date
June 16, 2026
Certification Date
June 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Meadowbrook Ln
South Easton, MA 02375-1289
Zip
02375-1289
Phone Number
508-258-9703
South Easton, MA 02375Get directions →

Provider Business Mailing Address Details

Address
8 Meadowbrook Ln
South Easton, MA 02375-1289
City
South Easton
State
MA
Zip
02375-1289
Phone Number
781-975-2185
Fax Number
781-341-4489

License Information

License Number (1)
LMHC10002001
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
MHC01717
License State (2)
RI
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Edward J Modestino, PHD?

The NPI number of Dr. Edward J Modestino, PHD is 1467064972. It was assigned on August 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Edward J Modestino, PHD?

Dr. Edward J Modestino, PHD is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number LMHC10002001.

Where does Dr. Edward J Modestino, PHD practice?

The practice location is 8 Meadowbrook Ln, South Easton, MA 02375-1289. The office can be reached at 508-258-9703 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467064972 directly on the NPPES registry website.

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