Individual provider Active NPI

Stefanie Tova Lakin

  • Addiction (Substance Use Disorder) Counselor
  • Winchester, MA
National Provider Identifier
1407338296
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
540 Main St Ste 14
Winchester, MA 01890-2940
Phone
(781) 218-2377
Fax
(781) 995-0462
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 13125 MA
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

540 Main St Ste 14
Winchester, MA 01890-2940

Mailing address

540 Main St Ste 14
Winchester, MA 01890-2940
Phone (781) 218-2377

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
I20250318003145 MA Practitioner - Mental Health Counselor 2567984669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Center Psychotherapy LLCGroup PAC ID 4486181625, 5 clinicians

Practice addresses (Care Compare)

540 Main St
Suite 14
Winchester, MA 01890-2940
Phone (781) 218-2377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13125MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center Psychotherapy LLC Mental Health CurrentSince Jan 11, 2025 Accepting new patients
Cambridge Psychiatric Services, Inc PastSince Oct 31, 2021 Accepting new patients
North Charles Mental Health Research & Training Foundation, Inc Counselor PastSince Dec 22, 2019 Accepting new patients

Locations

540 Main St
Ste 14
Winchester, MA 01890
Phone (781) 218-2377

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1407338296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MAIN ST STE 14",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902940",
            "telephone_number": "781-218-2377",
            "fax_number": "781-995-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MAIN ST STE 14",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902940",
            "telephone_number": "781-218-2377",
            "fax_number": "781-995-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKIN",
        "first_name": "STEFANIE",
        "middle_name": "TOVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "13125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.