Organization Active NPI

Mental Awareness for All, LLC

  • Mental Health Counselor
  • Randolph, MA
National Provider Identifier
1144954124
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENTAL AWARENESS FOR ALL, LLC
Practice address
1014 N Main St
Randolph, MA 02368-3005
Phone
(857) 294-2958
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Ann-Marie DentonNPI 1326709650
Title
Chief Executive Officer
Phone
(857) 294-2958

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1014 N Main St
Randolph, MA 02368-3005

Mailing address

1269 Hyde Park Ave Unit 365775
Hyde Park, MA 02136-5838

National Provider Directory

National Provider Directory

Locations

1269 Hyde Park Ave
Unit 365775
Hyde Park, MA 02136

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": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1144954124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 HYDE PARK AVE UNIT 365775",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021365838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683005",
            "telephone_number": "857-294-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL AWARENESS FOR ALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "ANN-MARIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "857-294-2958"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

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