Stanislav Sevostyanov, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10003442 Issued in MA

Practice address

248 Providence Hwy # 5005
Westwood, MA 02090-1908

Phone

(617) 987-4187

Fax

(617) 684-6374

NPI assigned

Jan 9, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1033929294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PROVIDENCE HWY APT 210",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266809",
            "telephone_number": "908-627-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PROVIDENCE HWY # 5005",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901908",
            "telephone_number": "617-987-4187",
            "fax_number": "617-684-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVOSTYANOV",
        "first_name": "STANISLAV",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10003442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Schneiderman, MD
• Doris M Schneller, CRNA
• James P Scofield, CRNA
• Roger Scungio, CRNA
• Kristine Seibel, DMD
• Devora Sara Shamon, LICSW
• Jill D Sharp, CRNA
• Shiqian Shen, DMD
• Richard Shockley, MD
• Monica Sanz Shook, M.D

• Mental Health Counselor in Westwood, MA
• Providers in Westwood, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.