Active NPI
Mark J Lipman, LMHC
- Counselor
- Belmont, MA
National Provider Identifier
1194064626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 8165
- Practice address
- 115 Mill St
Belmont, MA 02478-1064 - Phone
- (617) 855-2000
- Fax
- (617) 855-3724
- NPI assigned
- Feb 4, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8165 | MA | Primary |
Addresses
Primary practice location
115 Mill St
Belmont, MA 02478-1064
Mailing address
115 Mill St
Belmont, MA 02478-1064
Phone (617) 855-2000
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 |
|---|---|---|---|
| 8165 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1194064626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MILL ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781064",
"telephone_number": "617-855-2000",
"fax_number": "617-855-3724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MILL ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781064",
"telephone_number": "617-855-2000",
"fax_number": "617-855-3724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPMAN",
"first_name": "MARK",
"middle_name": "J",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-04",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "8165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.