Individual provider Active NPI

Elvin Aydin Keles, PHD, LPC, NCC

  • Professional Counselor
  • Brookline, MA
National Provider Identifier
1366068116
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83660 Issued in TX
Practice address
1680A Beacon St
Brookline, MA 02445-2180
Phone
(617) 943-4347
NPI assigned
Jun 17, 2020
Last updated
Oct 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83660 TX Primary

Addresses

Primary practice location

1680A Beacon St
Brookline, MA 02445-2180

Mailing address

37 Cottage Park Ave
Cambridge, MA 02140-1605
Phone (346) 234-2555

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001002383 MA Practitioner - Mental Health Counselor 1254837917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Practice addresses (Care Compare)

675 Main St
Waltham, MA 02451-0602
Phone (781) 893-5110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
83660TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc CurrentSince Sep 19, 2025 Accepting new patients
Advocates, Inc CurrentSince Sep 19, 2025 Accepting new patients
Advocates, Inc. Current Accepting new patients

Locations

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

1881 Worcester Rd
Framingham, MA 01701

675 Main St
Waltham, MA 02451
Phone (781) 314-9567

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1366068116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COTTAGE PARK AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401605",
            "telephone_number": "346-234-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680A BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024452180",
            "telephone_number": "617-943-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYDIN KELES",
        "first_name": "ELVIN",
        "credential": "PHD, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.