Organization Active NPI

Dora Shalts-Lastra

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1407395502
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9251 Issued in MA
Legal business name
DORA SHALTS-LASTRA
Practice address
29 Commonwealth Ave FL 9
Boston, MA 02116-2349
Phone
(617) 209-7957
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Dora Shalts-Lastra, LMHC
Title
Owner/Counselor
Phone
(617) 209-7957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 9251 MA Primary

Addresses

Primary practice location

29 Commonwealth Ave FL 9
Boston, MA 02116-2349

Mailing address

29 Commonwealth Ave FL 9
Boston, MA 02116-2349
Phone (617) 209-7957

National Provider Directory

National Provider Directory

Locations

29 Commonwealth Ave
Unit 9
Boston, MA 02116
Phone (617) 209-7957

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1407395502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 COMMONWEALTH AVE FL 9",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162349",
            "telephone_number": "617-209-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 COMMONWEALTH AVE FL 9",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162349",
            "telephone_number": "617-209-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORA SHALTS-LASTRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "SHALTS-LASTRA",
        "authorized_official_first_name": "DORA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "617-209-7957",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.