Ellen A Alfaro

Individual provider Active NPI Mental Health Counselor · Natick, MA

NPI 1194890111 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1194890111
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
1379 (MA)
Practice address
154 E Central St
Suite 205
Natick, MA 01760-3644
Phone
(508) 651-3845
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 3, 2024 through Dec 3, 2026

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1379MAMDMedical Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1379 MA Yes

Addresses

Primary practice location

154 E Central St
Suite 205
Natick, MA 01760-3644

Mailing address

6 Abbott Rd
Natick, MA 01760-1947
Phone (508) 650-9582

Other providers in Natick, MA

All providers in Natick, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.