Individual provider Active NPI

Alena Martiros, LMHC

  • Mental Health Counselor
  • Westminster, MA
National Provider Identifier
1366814170
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10202 Issued in MA
Practice address
71 Main St
Westminster, MA 01473-1472
Phone
(978) 403-0248
Fax
(978) 393-1252
NPI assigned
Oct 20, 2015
Reactivated
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 10202 MA Primary

Addresses

Primary practice location

71 Main St
Westminster, MA 01473-1472

Mailing address

PO Box 544
Lunenburg, MA 01462-0544
Phone (978) 403-0248

Other practice location 1

418 Patriots Rd
Templeton, MA 01468-1613
Phone (978) 403-0248

Other practice location 2

16 Ramgren Rd
Lunenburg, MA 01462-2325
Phone (978) 403-0248

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
10202MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1366814170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 544",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014620544",
            "telephone_number": "978-403-0248",
            "fax_number": "978-393-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 MAIN ST",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014731472",
            "telephone_number": "978-403-0248",
            "fax_number": "978-393-1252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Patriots Rd",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "MA",
            "postal_code": "014681613",
            "country_code": "US",
            "telephone_number": "978-403-0248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Ramgren Rd",
            "address_purpose": "LOCATION",
            "city": "Lunenburg",
            "state": "MA",
            "postal_code": "014622325",
            "country_code": "US",
            "telephone_number": "978-403-0248",
            "fax_number": "978-393-1252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIROS",
        "first_name": "ALENA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "deactivation_date": "2016-06-01",
        "reactivation_date": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.