Organization Active NPI

Headzone

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1225370612
Registry record updated Mar 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7128 Issued in MA
Legal business name
HEADZONE
Practice address
581 Boylston St Ste 802C
Boston, MA 02116-3679
Phone
(617) 653-5885
Fax
(866) 281-6683
NPI assigned
Mar 23, 2013
Last updated
Mar 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2013

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

Authorized official

Name
Barbara Steele Martin, LMHCNPI 1710178736
Title
Owner
Phone
(617) 653-5885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 7128 MA Primary

Addresses

Primary practice location

581 Boylston St Ste 802C
Boston, MA 02116-3679

Mailing address

581 Boylston St Ste 802C
Boston, MA 02116-3679
Phone (617) 653-5885

Other identifiers 2

IdentifierTypeStateIssuer
60054OtherMAAETNA
70010000LM1730OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

581 Boylston St
Ste 802C
Boston, MA 02116
Phone (617) 653-5885

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363996800000",
    "number": "1225370612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 BOYLSTON ST STE 802C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163679",
            "telephone_number": "617-653-5885",
            "fax_number": "866-281-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 BOYLSTON ST STE 802C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163679",
            "telephone_number": "617-653-5885",
            "fax_number": "866-281-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADZONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-23",
        "last_updated": "2013-03-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "STEELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-653-5885",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70010000LM1730",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2013; 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.