Individual provider Active NPI

Iris Werbalowsky Barten, M. ED; LMHC, LMFT

  • Mental Health Counselor
  • Bolton, MA
National Provider Identifier
1104063759
Registry record updated Jan 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
899 Issued in MA
Practice address
35 Vaughn Hill Rd
Bolton, MA 01740-1050
Phone
(978) 779-2744
NPI assigned
Jan 17, 2009
Last updated
Jan 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 899 MA Primary
Social Worker 104100000X 208205 2 MA
Marriage & Family Therapist 106H00000X 532 MA

Addresses

Primary practice location

35 Vaughn Hill Rd
Bolton, MA 01740-1050

Mailing address

PO Box 173
Bolton, MA 01740-0173
Phone (978) 779-2744

Other names 1

  • Ms. Iris W. Barten Other 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

State licenses

LicenseStateTypeSpecialty
208205 2MAMDSocial Worker
532MAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1232150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232150400000",
    "number": "1104063759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017400173",
            "telephone_number": "978-779-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 VAUGHN HILL RD",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017401050",
            "telephone_number": "978-779-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTEN",
        "first_name": "IRIS",
        "middle_name": "WERBALOWSKY",
        "name_prefix": "Ms.",
        "credential": "M. ED; LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-17",
        "last_updated": "2009-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "899",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "208205 2",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "BARTEN",
            "middle_name": "W.",
            "prefix": "MS.",
            "credential": "SAME & LCSW  BOTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bolton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2009; 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.