Individual provider Active NPI

Lisa Sophronia Cummings-Knight, LMHC,LADC1,MHC

  • Mental Health Counselor
  • South Boston, MA
National Provider Identifier
1306069596
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4859 Issued in MA
Practice address
840 Summer St
South Boston, MA 02127-1533
Phone
(617) 780-6476
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4859 MA
Mental Health Counselor 101YM0800X 4859 MA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1035 MA
Addiction (Substance Use Disorder) Counselor 101YA0400X 4859 MA
Counselor 101Y00000X MHC01741 RI

Addresses

Primary practice location

840 Summer St
South Boston, MA 02127-1533

Mailing address

872 E Broadway
South Boston, MA 02127-2323
Phone (617) 780-6476

Other practice location 1

10 Cross St
Newport, RI 02840-2510
Phone (617) 780-6476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240125001909 MA Practitioner - Mental Health Counselor 8022461185 Practice locations: Boston, MA; South Boston, MA
I20260408002617 RI Practitioner - Mental Health Counselor 8022461185 Practice locations: Newport, RI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Cross St
Newport, RI 02840-2510
Phone (617) 780-6476

872 E Broadway
Boston, MA 02127-2323

PO Box
Suite 16
Mashpee, MA 02649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC01741RIMDCounselor
1035MAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1306069596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 E BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272323",
            "telephone_number": "617-780-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SUMMER ST",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021271533",
            "telephone_number": "617-780-6476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Cross St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028402510",
            "country_code": "US",
            "telephone_number": "617-780-6476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS-KNIGHT",
        "first_name": "LISA",
        "middle_name": "SOPHRONIA",
        "credential": "LMHC,LADC1,MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "4859",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4859",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1035",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "4859",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "RI",
            "license": "MHC01741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, MA

Sources for this page

Verify at the official NPI Registry.