Individual provider Active NPI

Rodrigo Barahona, PSYA D LMHC LADC-1

  • Mental Health Counselor
  • Brookline, MA
National Provider Identifier
1447476189
Registry record updated Dec 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6689 Issued in MA
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

Updated by the provider on Dec 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2127MAMDAddiction (Substance Use Disorder) Counselor
6689MAMDMental 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.

Verify at the official NPI Registry.