Active NPI
Leona Tevari, LMHC
- Mental Health Counselor
- Medford, MA
National Provider Identifier
1083080253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8588
- Practice address
- 275 Mystic Ave
Suite 2a
Medford, MA 02155-6301 - Phone
- (781) 708-4960
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8588 | MA | Primary |
Addresses
Primary practice location
275 Mystic Ave
Suite 2a
Medford, MA 02155-6301
Mailing address
366 Massachusetts Ave
Suite 101
Arlington, MA 02474-6733
Phone (781) 708-4960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 31, 2026 through Jan 31, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8588 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1083080253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 MASSACHUSETTS AVE",
"address_2": "SUITE 101",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024746733",
"telephone_number": "781-708-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MYSTIC AVE",
"address_2": "SUITE 2A",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556301",
"telephone_number": "781-708-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEVARI",
"first_name": "LEONA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "8588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.