Active NPI
Asha Tenia Lewis
- Mental Health Counselor
- Dorchester Center, MA
National Provider Identifier
1235358425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S12124698
- Practice address
- 895 Blue Hill Ave
Dorchester Center, MA 02124-2902 - Phone
- (617) 822-0829
- NPI assigned
- Apr 25, 2007
- Last updated
- Aug 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MA | ||
| Mental Health Counselor | 101YM0800X | S12124698 | MA | Primary |
Addresses
Primary practice location
895 Blue Hill Ave
Dorchester Center, MA 02124-2902
Mailing address
62 Stockton St Apt 1
Dorchester Center, MA 02124-4426
Phone (857) 222-0764
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
| License | State | Type | Specialty |
|---|---|---|---|
| S12124698 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1235358425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 STOCKTON ST APT 1",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021244426",
"telephone_number": "857-222-0764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 BLUE HILL AVE",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021242902",
"telephone_number": "617-822-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ASHA",
"middle_name": "TENIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "S12124698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.