Active NPI
Nielle Delayah Milinazzo, LMHC, ATR
- Mental Health Counselor
- Waltham, MA
National Provider Identifier
1306503008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12718-MH-CC
- Practice address
- 738 Main Street
Suite 124
Waltham, MA 02451 - Phone
- (617) 918-7245
- NPI assigned
- Nov 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12718-MH-CC | MA | Primary |
Addresses
Primary practice location
738 Main Street
Suite 124
Waltham, MA 02451
Mailing address
800 Lexington St # 1064
Waltham, MA 02452-4848
Phone (617) 918-7245
Other practice location 1
152 Lynnway Ste 2C
Lynn, MA 01902-3420
Phone (617) 939-9087
Other practice location 2
227 Babcock St
Brookline, MA 02446-6773
Phone (617) 731-3200 ext. 179
Other names 1
- Ms. Nielle Delayah Alfred
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 |
|---|---|---|---|
| 12718-MH-CC | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1306503008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 LEXINGTON ST # 1064",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024524848",
"telephone_number": "617-918-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 MAIN STREET",
"address_2": "SUITE 124",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02451",
"telephone_number": "617-918-7245"
}
],
"practiceLocations": [
{
"address_1": "152 Lynnway Ste 2C",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019023420",
"country_code": "US",
"telephone_number": "617-939-9087",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "227 Babcock St",
"address_purpose": "LOCATION",
"city": "Brookline",
"state": "MA",
"postal_code": "024466773",
"country_code": "US",
"telephone_number": "617-731-3200 x179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILINAZZO",
"first_name": "NIELLE",
"middle_name": "DELAYAH",
"name_prefix": "Mrs.",
"credential": "LMHC, ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2023-10-13",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "12718-MH-CC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIELLE",
"last_name": "ALFRED",
"middle_name": "DELAYAH",
"prefix": "MS.",
"credential": "LMHC, ATR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.