Individual provider Active NPI

Sona O. Klimowicz, LMHC

  • Mental Health Counselor
  • Fitchburg, MA
National Provider Identifier
1447422308
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5073 Issued in MA
Practice address
545 Westminster St
Fitchburg, MA 01420-4727
Phone
(978) 345-0685
Fax
(978) 342-8495
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5073 MA Primary

Addresses

Primary practice location

545 Westminster St
Fitchburg, MA 01420-4727

Mailing address

545 Westminster St
Fitchburg, MA 01420-4727
Phone (978) 345-0685

Other identifiers 1

IdentifierTypeStateIssuer
5073OtherMALMHC

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
I20241113000376 MA Practitioner - Mental Health Counselor 7719411842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luk Crisis Center IncGroup PAC ID 2264476993, 6 clinicians

Practice addresses (Care Compare)

545 Westminster St
Fitchburg, MA 01420-4766
Phone (978) 345-0685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luk Crisis Center Inc. CurrentSince Nov 5, 2024 Accepting new patients

Locations

545 Westminster St
Fitchburg, MA 01420
Phone (978) 345-0685

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/luk/r4/

Organizations & group practices 1

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1447422308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 WESTMINSTER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204727",
            "telephone_number": "978-345-0685",
            "fax_number": "978-342-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 WESTMINSTER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204727",
            "telephone_number": "978-345-0685",
            "fax_number": "978-342-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMOWICZ",
        "first_name": "SONA",
        "middle_name": "O.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "5073",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.