Individual provider Active NPI

Gina M Malvarosa, LMHC

  • Mental Health Counselor
  • Danvers, MA
National Provider Identifier
1275655367
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
466 Issued in MA
Practice address
89 Newbury St Ste 101
Danvers, MA 01923-1098
Phone
(617) 584-2128
Fax
(781) 629-1755
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 466 MA Primary

Addresses

Primary practice location

89 Newbury St Ste 101
Danvers, MA 01923-1098

Mailing address

385 Park Ave
Revere, MA 02151
Phone (617) 584-2128

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
I20250403003087 MA Practitioner - Mental Health Counselor 4385168038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
466MAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
VK New England Management LLC CurrentSince Apr 1, 2025 Accepting new patients
Health Quality Inc. PastSince Apr 1, 2025 Accepting new patients

Locations

214 Howard St
Framingham, MA 01702
Phone (508) 872-0700

320 Essex St
Lawrence, MA 01840
Phone (978) 620-8017

222 Blossom Street Ext
Lynn, MA 01901
Phone (781) 584-4645

6 Essex Center Dr
Ste 303
Peabody, MA 01960
Phone (978) 532-1730

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1275655367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 PARK AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "02151",
            "telephone_number": "617-584-2128",
            "fax_number": "781-629-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 NEWBURY ST STE 101",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231098",
            "telephone_number": "617-584-2128",
            "fax_number": "781-629-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVAROSA",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.