Individual provider Active NPI

Micaela Zilberberg, LMHC

  • Counselor
  • Lawrence, MA
National Provider Identifier
1346877487
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6482 Issued in MA
Practice address
170 Common St Ste 215
Lawrence, MA 01840-1558
Phone
(978) 725-4800
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6482 MA Primary

Addresses

Primary practice location

170 Common St Ste 215
Lawrence, MA 01840-1558

Mailing address

170 Common St Ste 215
Lawrence, MA 01840-1558
Phone (978) 725-4800

Other identifiers 1

IdentifierTypeStateIssuer
6482OtherMALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mzilberberg@healthindependent.net Direct

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

LicenseStateTypeSpecialty
6482MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Independent Providers Inc CurrentSince Mar 29, 2020 Accepting new patients

Locations

170 Common St
Ste 215
Lawrence, MA 01840
Phone (978) 725-4800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1346877487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 COMMON ST STE 215",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401558",
            "telephone_number": "978-725-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COMMON ST STE 215",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401558",
            "telephone_number": "978-725-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILBERBERG",
        "first_name": "MICAELA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "6482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6482",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzilberberg@healthindependent.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "170 Common St Ste 215",
            "city": "Lawrence",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018401558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.