Individual provider Active NPI

Lindsy Marlyn Cabrera-Revolorio, MA, LCPC

  • Mental Health Counselor
  • Attleboro, MA
National Provider Identifier
1083081384
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.009072 Issued in IL
Practice address
8 N Main St
Suite 504
Attleboro, MA 02703-2282
Phone
(508) 409-0000
Fax
(508) 409-0006
NPI assigned
Aug 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.009072 IL Primary

Addresses

Primary practice location

8 N Main St
Suite 504
Attleboro, MA 02703-2282

Mailing address

8 N Main St
Suite 504
Attleboro, MA 02703-2282
Phone (508) 409-0000

Other names 1

  • Lindsy Marlyn Cabrera 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

State licenses

LicenseStateTypeSpecialty
180.009072ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1083081384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N MAIN ST",
            "address_2": "SUITE 504",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032282",
            "telephone_number": "508-409-0000",
            "fax_number": "508-409-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N MAIN ST",
            "address_2": "SUITE 504",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032282",
            "telephone_number": "508-409-0000",
            "fax_number": "508-409-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA-REVOLORIO",
        "first_name": "LINDSY",
        "middle_name": "MARLYN",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSY",
            "last_name": "CABRERA",
            "middle_name": "MARLYN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.