Individual provider Active NPI

Yelena Zelikman

  • Mental Health Counselor
  • Hanover, MA
National Provider Identifier
1164816724
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
427 Columbia Rd Ste 104
Hanover, MA 02339-3213
Phone
(857) 258-9844
Fax
(812) 433-8157
NPI assigned
Mar 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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 Primary

Addresses

Primary practice location

427 Columbia Rd Ste 104
Hanover, MA 02339-3213

Mailing address

427 Columbia Rd Ste 104
Hanover, MA 02339-3213
Phone (857) 258-9844

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Light Therapy LLC Mental Health Current Accepting new patients
Life Enhancement Psychotherapy LLC Past Accepting new patients

Locations

720 Washington St
Ste 403
Hanover, MA 02339
Phone (781) 878-3870

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1164816724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 COLUMBIA RD STE 104",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023393213",
            "telephone_number": "857-258-9844",
            "fax_number": "781-243-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 COLUMBIA RD STE 104",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023393213",
            "telephone_number": "857-258-9844",
            "fax_number": "812-433-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELIKMAN",
        "first_name": "YELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-22",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.