Active NPI
Kevin Lalli, LMHC
- Mental Health Counselor
- Norwell, MA
National Provider Identifier
1104977685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6090
- Practice address
- 200 Cordwainer Dr
Suite 202
Norwell, MA 02061-1671 - Phone
- (617) 686-3871
- Fax
- (781) 871-0306
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- 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 | 6090 | MA | Primary |
Addresses
Primary practice location
200 Cordwainer Dr
Suite 202
Norwell, MA 02061-1671
Mailing address
19 South St
#8
Brighton, MA 02135-5167
Phone (617) 686-3871
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 |
|---|---|---|---|
| 6090 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104977685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SOUTH ST",
"address_2": "#8",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021355167",
"telephone_number": "617-686-3871",
"fax_number": "781-871-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CORDWAINER DR",
"address_2": "SUITE 202",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611671",
"telephone_number": "617-686-3871",
"fax_number": "781-871-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALLI",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwell, 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.