Individual provider Active NPI

Marvin E. Stone, L.M.H.C.

  • Mental Health Counselor
  • Arlington, MA
National Provider Identifier
1104946177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2062 Issued in MA
Practice address
94 Pleasant St
Arlington, MA 02476-6535
Phone
(781) 641-1457
Fax
(781) 641-1457
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2062 MA Primary

Addresses

Primary practice location

94 Pleasant St
Arlington, MA 02476-6535

Mailing address

14 Jason CT
Arlington, MA 02476-6467
Phone (781) 641-0887

Other identifiers 1

IdentifierTypeStateIssuer
LM0552OtherMABCBSMA PROVIDER NUMBER

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
2062MAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104946177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JASON CT",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024766467",
            "telephone_number": "781-641-0887",
            "fax_number": "781-641-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 PLEASANT ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024766535",
            "telephone_number": "781-641-1457",
            "fax_number": "781-641-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MARVIN",
        "middle_name": "E.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA PROVIDER NUMBER",
            "identifier": "LM0552",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.