Active NPI
Emily Castellanos
- Mental Health Counselor
- Mattapan, MA
National Provider Identifier
1194590117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1000110
- Practice address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - Phone
- (617) 296-0061
- NPI assigned
- Nov 20, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1000110 | MA | Primary |
Addresses
Primary practice location
1575 Blue Hill Ave
Mattapan, MA 02126-2122
Mailing address
5 Christopher Dr Apt 5
South Easton, MA 02375-1569
Other practice location 1
36 Miller Stile Rd
Quincy, MA 02169-5423
Phone (617) 302-3487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1575 Blue Hill Ave
Boston, MA 02126-2122
Phone (617) 296-0061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000110 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mattapan Community Health Center Inc | Current | Accepting new patients | |
| Emily Castellanos LMHC LLC | Mental Health | Current | Accepting new patients |
| Northeast Addictions Treatment Center | Past | Accepting new patients | |
| Mattapan Community Health Center Inc | Past | Accepting new patients |
Locations
1575 Blue Hill Ave
Mattapan, MA 02126
Phone (617) 296-0061
Organizations & group practices 4
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.
-
- Clinic/Center
- Boston, MA
- NPI 1942869342
-
- Mental Health Counselor
- Bridgewater, MA
- NPI 1801630629
-
- Federally Qualified Health Center (FQHC)
- Mattapan, MA
- NPI 1639240393
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Quincy, MA
- NPI 1679094684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1194590117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CHRISTOPHER DR APT 5",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 BLUE HILL AVE",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "021262122",
"telephone_number": "617-296-0061"
}
],
"practiceLocations": [
{
"address_1": "36 Miller Stile Rd",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021695423",
"country_code": "US",
"telephone_number": "617-302-3487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTELLANOS",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1000110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattapan, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.