Active NPI
Max Babbin Rothbaum, LMSW
- Mental Health Counselor
- Chelmsford, MA
National Provider Identifier
1134855372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60483
- Practice address
- 227 Chelmsford St Ste 13C
Chelmsford, MA 01824-2305 - Phone
- (617) 947-9582
- Fax
- (978) 221-5831
- NPI assigned
- Jul 29, 2022
- 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 | 60483 | TX | Primary |
Addresses
Primary practice location
227 Chelmsford St Ste 13C
Chelmsford, MA 01824-2305
Mailing address
227 Chelmsford St Ste 13C
Chelmsford, MA 01824-2305
Phone (617) 947-9582
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 |
|---|---|---|---|
| 60483 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1134855372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 CHELMSFORD ST STE 13C",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242305",
"telephone_number": "617-947-9582",
"fax_number": "978-221-5831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 CHELMSFORD ST STE 13C",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242305",
"telephone_number": "617-947-9582",
"fax_number": "978-221-5831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHBAUM",
"first_name": "MAX",
"middle_name": "BABBIN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-29",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "60483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.