Organization Active NPI

Real Talk Private Practice, LLC

  • Mental Health Counselor
  • Framingham, MA
National Provider Identifier
1083222657
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REAL TALK PRIVATE PRACTICE, LLC
Doing business as
Real Talk Practice
Practice address
82 Concord St Ste 2C
Framingham, MA 01702-8343
Phone
(774) 777-6007
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Danielle Pinals, LMHCNPI 1609312289
Title
Director
Phone
(774) 777-6007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

82 Concord St Ste 2C
Framingham, MA 01702-8343

Mailing address

82 Concord St Ste 2C
Framingham, MA 01702-8343
Phone (774) 777-6007

Other names 1

  • Real Talk Practice Doing business as

National Provider Directory

National Provider Directory

Locations

82 Concord St
Ste 2C
Framingham, MA 01702
Phone (774) 777-6007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1083222657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 CONCORD ST STE 2C",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028343",
            "telephone_number": "774-777-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 CONCORD ST STE 2C",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028343",
            "telephone_number": "774-777-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL TALK PRIVATE PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "PINALS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "774-777-6007",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Talk Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.