Active NPI
Delaram Pourhakimy
- Mental Health Counselor
- Brookline, MA
National Provider Identifier
1104707074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC10004408
- Practice address
- 1581 Beacon St
Brookline, MA 02446-4602 - Phone
- (617) 710-0332
- NPI assigned
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC10004408 | MA | Primary |
Addresses
Primary practice location
1581 Beacon St
Brookline, MA 02446-4602
Mailing address
1581 Beacon St
Brookline, MA 02446-4602
Phone (617) 710-0332
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC10004408 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1104707074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1581 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464602",
"telephone_number": "617-710-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1581 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464602",
"telephone_number": "617-710-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POURHAKIMY",
"first_name": "DELARAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LMHC10004408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.