Organization Active NPI

Z Israelian LMHC LLC

  • Mental Health Counselor
  • Marblehead, MA
National Provider Identifier
1265092480
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
Z ISRAELIAN LMHC LLC
Practice address
118 Pleasant St Unit 21C
Marblehead, MA 01945-2344
Phone
(617) 413-2762
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Zhenique M Israelian, LMHCNPI 1184814196
Title
Sole Member
Phone
(617) 413-2762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

118 Pleasant St Unit 21C
Marblehead, MA 01945-2344

Mailing address

PO Box 1433
Marblehead, MA 01945-5433
Phone (800) 228-5097

National Provider Directory

National Provider Directory

Locations

118 Pleasant St
Unit 21C
Marblehead, MA 01945
Phone (617) 413-2762

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1265092480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1433",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019455433",
            "telephone_number": "800-228-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PLEASANT ST UNIT 21C",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452344",
            "telephone_number": "617-413-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z ISRAELIAN LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "ISRAELIAN",
        "authorized_official_first_name": "ZHENIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "617-413-2762",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marblehead, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.