Active NPI
Rodrigo Barahona, PSYA D LMHC LADC-1
- Mental Health Counselor
- Brookline, MA
National Provider Identifier
1447476189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6689
- Practice address
- 1685 Beacon St Apt 3
Brookline, MA 02445-4418 - Phone
- (617) 501-1172
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6689 | MA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2127 | MA |
Addresses
Primary practice location
1685 Beacon St Apt 3
Brookline, MA 02445-4418
Mailing address
1685 Beacon St Apt 3
Brookline, MA 02445-4418
Phone (617) 501-1172
Other practice location 1
131 Harvard St
Brookline, MA 02446-6429
Phone (617) 501-1172
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 |
|---|---|---|---|
| 2127 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| 6689 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671840000000",
"number": "1447476189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1685 BEACON ST APT 3",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024454418",
"telephone_number": "617-501-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 BEACON ST APT 3",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024454418",
"telephone_number": "617-501-1172"
}
],
"practiceLocations": [
{
"address_1": "131 Harvard St",
"address_purpose": "LOCATION",
"city": "Brookline",
"state": "MA",
"postal_code": "024466429",
"country_code": "US",
"telephone_number": "617-501-1172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARAHONA",
"first_name": "RODRIGO",
"name_prefix": "Dr.",
"credential": "PSYA D LMHC LADC-1",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2022-12-24",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6689",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "2127",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.