Iris Werbalowsky Barten, M. ED; LMHC, LMFT

Individual provider Active NPI Mental Health Counselor · Bolton, MA

NPI 1104063759 · NPPES record last updated Jan 17, 2009

Key facts

NPI
1104063759
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
899 (MA)
Practice address
35 Vaughn Hill Rd
Bolton, MA 01740-1050
Phone
(978) 779-2744
NPI assigned
Jan 17, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
208205 2MAMDSocial Worker
532MAMDAcupuncturist
899MAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 899 MA Yes
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 identifiers

IdentifierTypeStateIssuer
70010000LM0622OtherMABCBSMA

Other names

  • Ms. Iris W. Barten Other name

Other providers in Bolton, MA

All providers in Bolton, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.