Active NPI
Ashmont Counseling Associates LLC
- Counseling Psychologist
- Dorchester Center, MA
National Provider Identifier
1003099417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 8761
- Legal business name
- ASHMONT COUNSELING ASSOCIATES LLC
- Practice address
- 172 Ashmont St
Dorchester Center, MA 02124-3745 - Phone
- (617) 224-7289
- Fax
- (617) 288-2992
- NPI assigned
- Dec 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin Randy Pierre, PH.D.
- Title
- Licensed Psychologist
- Phone
- (617) 224-7289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 8761 | MA | Primary |
Addresses
Primary practice location
172 Ashmont St
Dorchester Center, MA 02124-3745
Mailing address
172 Ashmont St
Dorchester Center, MA 02124-3745
Phone (617) 224-7289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Ashmont Counseling Associates LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Dorchester Center, MA
- NPI 1902056542
Locations
172 Ashmont St
Dorchester Center, MA 02124
Phone (617) 224-7289
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Dorchester Center, MA
- NPI 1962698407
-
- Counseling Psychologist
- Milton, MA
- NPI 1801809181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198108800000",
"number": "1003099417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 ASHMONT ST",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021243745",
"telephone_number": "617-224-7289",
"fax_number": "617-288-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 ASHMONT ST",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021243745",
"telephone_number": "617-224-7289",
"fax_number": "617-288-2992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHMONT COUNSELING ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-20",
"status": "A",
"authorized_official_last_name": "PIERRE",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "RANDY",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "617-224-7289",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "8761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.