Individual provider Active NPI

Dolores Ann Shea, LMHC, M.S.

  • Mental Health Counselor
  • Milton, MA
National Provider Identifier
1023137296
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC6712 Issued in MA
Practice address
51 Bartons Lane
Milton, MA 02186
Phone
(617) 504-3574
Fax
(617) 690-2717
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MA
Mental Health Counselor 101YM0800X MA
Mental Health Counselor 101YM0800X LMHC6712 MA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LMHC6712 MA

Addresses

Primary practice location

51 Bartons Lane
Milton, MA 02186

Mailing address

51 Bartons Lane
Milton, MA 02186
Phone (617) 504-3574

Other names 1

  • Dolores Ann Craig Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122002553 MA Practitioner - Mental Health Counselor 5991157372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute for Spiritual Life and Psychotherapy IncGroup PAC ID 9830520014, 9 clinicians

Practice addresses (Care Compare)

17 Church St
Hanover, MA 02339-2315
Phone (781) 826-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LMHC6712MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Spiritual Life and Psychotherapy Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

17 Church St
Hanover, MA 02339
Phone (781) 826-0011

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1023137296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BARTONS LANE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "617-504-3574",
            "fax_number": "617-690-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BARTONS LANE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "617-504-3574",
            "fax_number": "617-690-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "DOLORES",
        "middle_name": "ANN",
        "credential": "LMHC, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC6712",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "LMHC6712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLORES",
            "last_name": "CRAIG",
            "middle_name": "ANN",
            "credential": "LMHC, M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.