Individual provider Active NPI

India Victoria Brown I

  • Counselor
  • Newton, MA
National Provider Identifier
1093447286
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
109 Oak St Ste 201
Newton, MA 02464-1493
Phone
(617) 544-9290
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

109 Oak St Ste 201
Newton, MA 02464-1493

Mailing address

411 Chandler St
Worcester, MA 01602-3339
Phone (781) 475-3509

Other practice location 1

411 Chandler St
Worcester, MA 01602-3339
Phone (781) 475-3509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260204002821 MA Practitioner - Mental Health Counselor 6204315856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Boston Mental Health, PLLCGroup PAC ID 2860847464, 17 clinicians

Practice addresses (Care Compare)

109 Oak St
Suite 201
Newton, MA 02464-1493
Phone (617) 977-5372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Boston Mental Health, PLLC CurrentSince Jan 26, 2026 Accepting new patients

Locations

450 Bedford St
Ste 2400
Lexington, MA 02420
Phone (781) 633-7779

109 Oak St
Ste 201
Newton Upper Falls, MA 02464
Phone (617) 302-9171

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1093447286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023339",
            "telephone_number": "781-475-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OAK ST STE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641493",
            "telephone_number": "617-544-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Chandler St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016023339",
            "country_code": "US",
            "telephone_number": "781-475-3509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "INDIA",
        "middle_name": "VICTORIA",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.