NPIMap

Organization Active NPI

Beach Therapy Counseling, LLC

  • Clinical Social Worker
  • Stoneham, MA
National Provider Identifier
1336076934
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BEACH THERAPY COUNSELING, LLC
Practice address
42 Fieldstone Dr
Stoneham, MA 02180-1945
Phone
(617) 256-7616
NPI assigned
May 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Nicole Frances Fagone, LICSWNPI 1245272798
Title
Owner/Provider
Phone
(617) 256-7616

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

42 Fieldstone Dr
Stoneham, MA 02180-1945

Mailing address

42 Fieldstone Dr
Stoneham, MA 02180-1945
Phone (617) 256-7616

National Provider Directory

National Provider Directory

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": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1336076934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 FIELDSTONE DR",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801945",
            "telephone_number": "617-256-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 FIELDSTONE DR",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801945",
            "telephone_number": "617-256-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH THERAPY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "FAGONE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "617-256-7616",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.