NPIMap

Organization Active NPI

Steven J Pellegrine, LMHC LLC

  • Mental Health Counselor
  • Newton, MA
National Provider Identifier
1124740493
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STEVEN J PELLEGRINE, LMHC LLC
Practice address
15 Adams CT
Newton, MA 02458-1220
Phone
(978) 533-1921
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Steven J PellegrineNPI 1326474396
Title
Mental Health Counselor
Phone
(978) 533-1921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

15 Adams CT
Newton, MA 02458-1220

Mailing address

10 Stevens St Unit 861
Andover, MA 01810-3878
Phone (978) 533-1921

National Provider Directory

National Provider Directory

Locations

10 Stevens St
Unit 861
Andover, MA 01810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1124740493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STEVENS ST UNIT 861",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103878",
            "telephone_number": "978-533-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ADAMS CT",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581220",
            "telephone_number": "978-533-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J PELLEGRINE, LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "978-533-1921"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.