Active NPI
Nicolas Avellaneda, LMHC
- Mental Health Counselor
- Framingham, MA
National Provider Identifier
1114474830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7638
- Practice address
- 354 Waverly St
Framingham, MA 01702-7079 - Phone
- (508) 661-2038
- NPI assigned
- Sep 11, 2016
- 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 | 7638 | MA | Primary |
Addresses
Primary practice location
354 Waverly St
Framingham, MA 01702-7079
Mailing address
354 Waverly St
Framingham, MA 01702-7079
Phone (508) 661-2038
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 |
|---|---|---|---|
| 7638 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473552000000",
"number": "1114474830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 WAVERLY ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017027079",
"telephone_number": "508-661-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 WAVERLY ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017027079",
"telephone_number": "508-661-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVELLANEDA",
"first_name": "NICOLAS",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-11",
"last_updated": "2016-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "7638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.