Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edward Justin Modestino, PHD

Individual provider Mental Health Counselor · NPI 1467064972

Dr. Edward Justin Modestino, PHD is a Mental Health Counselor in South Easton, Massachusetts. Qualified in 2021, 5 years ago. Practices with Stoughton Counseling Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
5
Licensed in
MA, RI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

8 Meadowbrook Ln
South Easton, MA 02375-1289
Phone: (508) 258-9703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LMHC10002001 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence MHC01717 (RI)

Record details

NPI number1467064972
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 18, 2020
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Stoughton Counseling Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Easton