NPIMap

Individual provider Active NPI

Theresa Jeanne Mellen, LMHC CAGS

  • Counselor
  • Abington, MA
National Provider Identifier
1215198478
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LMHC3851 Issued in MA
Practice address
10 Bedford Street
Abington, MA 02351
Phone
(781) 871-2015
Fax
(781) 871-5558
NPI assigned
Jun 20, 2008
Last updated
Jun 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LMHC3851 MA Primary

Addresses

Primary practice location

10 Bedford Street
Abington, MA 02351

Mailing address

PO Box 2025
10 Bedford Street
Abington, MA 02351
Phone (781) 871-2015

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

LicenseStateTypeSpecialty
LMHC3851MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
United Church of Christ Past Accepting new patients

Organizations & group practices 1

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1215198478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2025",
            "address_2": "10 BEDFORD STREET",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "02351",
            "telephone_number": "781-871-2015",
            "fax_number": "781-871-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BEDFORD STREET",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "02351",
            "telephone_number": "781-871-2015",
            "fax_number": "781-871-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEN",
        "first_name": "THERESA",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "LMHC CAGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "LMHC3851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.