Individual provider Active NPI

Laura Polizoti, LMHC

  • Mental Health Counselor
  • Marlborough, MA
National Provider Identifier
1205692928
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10000876 Issued in MA
Practice address
4 Mount Royal Ave Ste 360
Marlborough, MA 01752-1961
Phone
(508) 410-4221
NPI assigned
Feb 21, 2024
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 10000876 MA Primary

Addresses

Primary practice location

4 Mount Royal Ave Ste 360
Marlborough, MA 01752-1961

Mailing address

53 Old Village Rd
Sturbridge, MA 01566-1070
Phone (508) 410-4221

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251224001018 MA Practitioner - Mental Health Counselor 9638664857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 Mount Royal Ave
Suite 4 360
Marlborough, MA 01752-1961
Phone (978) 222-3121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10000876MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Oct 16, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Oct 16, 2025 Accepting new patients
Family Counseling Associates of Salem Andover LLC Mental Health PastSince Feb 25, 2024 Accepting new patients

Locations

140 Wood Rd
#206
Braintree, MA 02184

4 Mount Royal Ave
Ste 4360
Marlborough, MA 01752

Organizations & group practices 3

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1205692928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 OLD VILLAGE RD",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661070",
            "telephone_number": "508-410-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MOUNT ROYAL AVE STE 360",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521961",
            "telephone_number": "508-410-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIZOTI",
        "first_name": "LAURA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10000876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.