Individual provider Active NPI

Sivarin Nelson

  • Mental Health Counselor
  • Wakefield, MA
National Provider Identifier
1083220347
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
37 Water St Ste 1
Wakefield, MA 01880-3044
Phone
(617) 333-8775
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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 Primary

Addresses

Primary practice location

37 Water St Ste 1
Wakefield, MA 01880-3044

Mailing address

37 Water St Ste 1
Wakefield, MA 01880-3044
Phone (617) 333-8775

Other practice location 1

98 Cedar St Apt 17
Wakefield, MA 01880-2757
Phone (781) 666-8773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240812001920 MA Practitioner - Mental Health Counselor 9931647732 Reassigns benefits to 3 organizations
I20260314000247 ME Practitioner - Mental Health Counselor 9931647732 Reassigns benefits to 1 organization
I20260314000380 MI Practitioner - Mental Health Counselor 9931647732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SB Transitional Sub LLCGroup PAC ID 7911315379, 70 clinicians

Practice addresses (Care Compare)

37 Water St
Suite 1
Wakefield, MA 01880-3044
Phone (508) 521-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Mental Health Center, Inc. CurrentSince Feb 7, 2021 Accepting new patients
Sondermind, P.a. Mental Health CurrentSince Feb 24, 2026 Accepting new patients
Sondermind Provider Network LLC CurrentSince Feb 24, 2026 Accepting new patients
SB Transitional Sub, LLC CurrentSince May 4, 2024 Accepting new patients

Locations

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

103 Commercial St
Ste 2
Brockton, MA 02302

1115 W Chestnut St
Brockton, MA 02301
Phone (508) 559-0473

37 Water St
Ste 1
Wakefield, MA 01880
Phone (781) 223-8042

63 Federal St
Portland, ME 04101
Phone (207) 560-0551

2031 Rambling Rd
Kalamazoo, MI 49008
Phone (269) 344-9490

Organizations & group practices 5

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1083220347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WATER ST STE 1",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803044",
            "telephone_number": "617-333-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WATER ST STE 1",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803044",
            "telephone_number": "617-333-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Cedar St Apt 17",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "MA",
            "postal_code": "018802757",
            "country_code": "US",
            "telephone_number": "781-666-8773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SIVARIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2021-02-04",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.