Active NPI
Paula Shevenell, LMHC
- Mental Health Counselor
- West Roxbury, MA
National Provider Identifier
1396705141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4307
- Practice address
- 2020 Centre St
West Roxbury, MA 02132 - Phone
- (617) 325-6700
- Fax
- (617) 325-6581
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4307 | MA | Primary |
Addresses
Primary practice location
2020 Centre St
West Roxbury, MA 02132
Mailing address
50 Columbus Ave
Somerville, MA 02143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4307 | Other | MA | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4307 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1396705141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 COLUMBUS AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CENTRE ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "02132",
"telephone_number": "617-325-6700",
"fax_number": "617-325-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEVENELL",
"first_name": "PAULA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "4307",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.