Active NPI
Maria Lacreta, MA
- Mental Health Counselor
- Roslindale, MA
National Provider Identifier
1306309166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 780 American Legion Hwy
Roslindale, MA 02131-3908 - Phone
- (857) 337-8246
- Fax
- (617) 469-8595
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
780 American Legion Hwy
Roslindale, MA 02131-3908
Mailing address
780 American Legion Hwy
Roslindale, MA 02131-3908
Phone (857) 337-8246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306309166 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlacreta@thehome.org | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Oak St
Suite 201
Newton, MA 02464-1493
Phone (617) 977-5372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Boston Mental Health, PLLC | Mental Health | Current | Accepting new patients |
| Spectrum Health Systems Inc | Past | Accepting new patients |
Locations
450 Bedford St
Ste 2400
Lexington, MA 02420
Phone (781) 633-7779
109 Oak St
Ste 201
Newton Upper Falls, MA 02464
Phone (617) 302-9171
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.
-
- Mental Health Counselor
- Newton, MA
- NPI 1184313397
-
- Multi-Specialty Clinic/Center
- Worcester, MA
- NPI 1376827188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1306309166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 AMERICAN LEGION HWY",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021313908",
"telephone_number": "857-337-8246",
"fax_number": "617-469-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 AMERICAN LEGION HWY",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021313908",
"telephone_number": "857-337-8246",
"fax_number": "617-469-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACRETA",
"first_name": "MARIA",
"name_prefix": "Miss",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306309166",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlacreta@thehome.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "780 American Legion Hwy",
"city": "Roslindale",
"state": "MA",
"country_code": "US",
"postal_code": "021313908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.