Individual provider Active NPI

Allyson Irene Skopelites, MA, LCMHC, MLADC

  • Mental Health Counselor
  • North Andover, MA
National Provider Identifier
1447849757
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2418 Issued in NH
Practice address
790 Turnpike St Ste 302
North Andover, MA 01845-6138
Phone
(978) 655-7782
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1205 NH
Mental Health Counselor 101YM0800X LMHC5000779 MA
Mental Health Counselor 101YM0800X 2418 NH Primary

Addresses

Primary practice location

790 Turnpike St Ste 302
North Andover, MA 01845-6138

Mailing address

790 Turnpike St Ste 302
North Andover, MA 01845-6138
Phone (978) 655-7782

Other practice location 1

9 Trafalgar Sq Ste 270
Nashua, NH 03063-1900
Phone (870) 544-4094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240102002294 MA Practitioner - Mental Health Counselor 2062862121
I20240508000306 NH Practitioner - Mental Health Counselor 2062862121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrity Care Management LLCGroup PAC ID 4183065220, 7 clinicians

Practice addresses (Care Compare)

1 F Commons Dr
Unit 35
Londonderry, NH 03053-3474
Phone (603) 386-6260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMHC5000779MAMDMental Health Counselor
1205NHMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Care Management LLC Mental Health CurrentSince Jun 19, 2024 Accepting new patients
Alliance Lifetime Mental Health, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

15 Union St
Ste 204
Lawrence, MA 01840
Phone (978) 209-4426

790 Turnpike St
Ste 302
North Andover, MA 01845
Phone (978) 655-7782

1F Commons Dr
Unit 35
Londonderry, NH 03053
Phone (603) 386-6260

9 Trafalgar Sq
Ste 270
Nashua, NH 03063
Phone (603) 486-4027

Organizations & group practices 2

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1447849757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST STE 302",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456138",
            "telephone_number": "978-655-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST STE 302",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456138",
            "telephone_number": "978-655-7782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Trafalgar Sq Ste 270",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030631900",
            "country_code": "US",
            "telephone_number": "870-544-4094",
            "fax_number": "603-386-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOPELITES",
        "first_name": "ALLYSON",
        "middle_name": "IRENE",
        "credential": "MA, LCMHC, MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1205",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC5000779",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.