Active NPI
Imago Psychodynamic Counseling, LLC
- Mental Health Counselor
- Pittsfield, MA
National Provider Identifier
1003525486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- IMAGO PSYCHODYNAMIC COUNSELING, LLC
- Practice address
- 82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066 - Phone
- (857) 371-8412
- NPI assigned
- Nov 15, 2022
- 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
- Daniel Moreno, LMHC
- Title
- Member
- Phone
- (786) 402-7396
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Mailing address
1032 E Brandon Blvd # 1023
Brandon, FL 33511-5509
Phone (857) 371-8412
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Pittsfield, MA
- NPI 1093288540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785024000000",
"number": "1003525486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 E BRANDON BLVD # 1023",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115509",
"telephone_number": "857-371-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 WENDELL AVE STE 100",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012017066",
"telephone_number": "857-371-8412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGO PSYCHODYNAMIC COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-15",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "786-402-7396",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.