Active NPI
Dora Shalts-Lastra
- Mental Health Counselor
- Boston, MA
National Provider Identifier
1407395502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9251
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.