Organization Active NPI

Daniel Bolton, LMHC LLC

  • Mental Health Counselor
  • Somerville, MA
National Provider Identifier
1346661113
Registry record updated Dec 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6232 Issued in MA
Legal business name
DANIEL BOLTON, LMHC LLC
Practice address
61 Roseland St
Somerville, MA 02143-3524
Phone
(617) 407-1380
Fax
(617) 661-5679
NPI assigned
Dec 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2013

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

Authorized official

Name
Mr. Daniel D Bolton, LMHCNPI 1699819565
Title
Manager
Phone
(617) 407-1380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6232 MA Primary

Addresses

Primary practice location

61 Roseland St
Somerville, MA 02143-3524

Mailing address

61 Roseland St
Somerville, MA 02143-3524
Phone (617) 407-1380

Other names 1

  • Cambridge Child and Family Counseling Other name

National Provider Directory

National Provider Directory

Locations

61 Roseland St
Somerville, MA 02143
Phone 6173546270 ext. 53

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387670400000",
    "number": "1346661113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ROSELAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433524",
            "telephone_number": "617-407-1380",
            "fax_number": "617-661-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ROSELAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433524",
            "telephone_number": "617-407-1380",
            "fax_number": "617-661-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL BOLTON, LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-22",
        "last_updated": "2013-12-22",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-407-1380",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Child and Family Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2013; 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.