Individual provider Active NPI

Alicia Triantos, MA

  • Mental Health Counselor
  • Wakefield, MA
National Provider Identifier
1154799062
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
301 Edgewater PL Ste 100
Wakefield, MA 01880-1281
Phone
(978) 212-9842
NPI assigned
Sep 9, 2015
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

301 Edgewater PL Ste 100
Wakefield, MA 01880-1281

Mailing address

301 Edgewater PL Ste 100
Wakefield, MA 01880-1281
Phone (978) 212-9842

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.abalancedself.org Direct

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
A Balanced Self Current Accepting new patients
Longwood Care, Inc Past Accepting new patients

Locations

301 Edgewater Pl
Ste 100
Wakefield, MA 01880
Phone (413) 412-2917

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1154799062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EDGEWATER PL STE 100",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801281",
            "telephone_number": "978-212-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EDGEWATER PL STE 100",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801281",
            "telephone_number": "978-212-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIANTOS",
        "first_name": "ALICIA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.abalancedself.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "301 Edgewater Pl Ste 100",
            "city": "Wakefield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018801281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.