Individual provider Active NPI

Yelena Z Lukashev, MA

  • Counselor
  • West Roxbury, MA
National Provider Identifier
1073923363
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
540 VFW Pkwy
#8
West Roxbury, MA 02132-1332
Phone
(617) 325-2993
Fax
(617) 325-5618
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

540 VFW Pkwy
#8
West Roxbury, MA 02132-1332

Mailing address

540 VFW Pkwy
#8
West Roxbury, MA 02132-1332
Phone (617) 325-2993

Other names 1

  • Ms. Yelena Zhadanovsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Kintsugi Collaborative Counseling Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1073923363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 VFW PKWY",
            "address_2": "#8",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321332",
            "telephone_number": "617-325-2993",
            "fax_number": "617-325-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 VFW PKWY",
            "address_2": "#8",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321332",
            "telephone_number": "617-325-2993",
            "fax_number": "617-325-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASHEV",
        "first_name": "YELENA",
        "middle_name": "Z",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "ZHADANOVSKY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.