Imari R Medeiros
Counselor, Mental Health in Bridgewater, Massachusetts
1558814129- Practice location
- 27 Central Sq # 1008, Bridgewater, MA 02324-2508
- Phone
- 508-685-8751
- Fax
- 508-463-9994
- Last updated
- July 27, 2026
Imari Rochell Medeiros is a Counselor, Mental Health based in Bridgewater, MA. Imari Rochell Medeiros practices in Bridgewater, MA. The NPI Number for Imari Rochell Medeiros is 1558814129 and holds a License No. 125732 (MA). The current practice location address for Imari Rochell Medeiros is 27 Central Sq # 1008, Bridgewater, MA 02324-2508 and can be reached out via phone at 508-685-8751 and via fax at 508-463-9994.
Provider Profile Details
- NPI Number
- 1558814129
- Provider Name
- Imari Rochell Medeiros
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 27 Central Sq # 1008, Bridgewater, MA 02324-2508
- Phone Number
- 508-685-8751
- Fax Number
- 508-463-9994
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Other Names
- Imari Rochell Gonzalez, LICSW (Former Name)
- Provider Enumeration Date
- July 29, 2016
- Last Update Date
- July 27, 2026
- Certification Date
- July 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 27 Central Sq # 1008
Bridgewater, MA 02324-2508 - City
- Bridgewater
- State
- Massachusetts
- Zip
- 02324-2508
- Phone Number
- 508-685-8751
- Fax Number
- 508-463-9994
Provider Business Mailing Address Details
- Address
- 27 Central Sq # 1008
Bridgewater, MA 02324-2508 - City
- Bridgewater
- State
- MA
- Zip
- 02324-2508
- Phone Number
- 508-233-3327
- Fax Number
- 508-463-9994
License Information
- License Number
- 125732
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Imari R Medeiros?
The NPI number of Imari R Medeiros is 1558814129. It was assigned on July 29, 2016 and is currently active in the NPPES registry.
What is the specialty of Imari R Medeiros?
Imari R Medeiros is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 125732.
Where does Imari R Medeiros practice?
The practice location is 27 Central Sq # 1008, Bridgewater, MA 02324-2508. The office can be reached at 508-685-8751 (phone) or 508-463-9994 (fax).
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 1558814129 directly on the NPPES registry website.