Alexandra Mango Quinn, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC5000952 Issued in MA

Practice address

1385 Lakeview Ave
Dracut, MA 01826-3414

Phone

(978) 256-4363

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alexandra Rose Mango Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/gNshjM5O9NNHo91poBY-hsv5tXiOvke8/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chelmsford Pediatrics

  • Pediatrics Physician
  • Chelmsford, MA
  • NPI 1316017536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1467973644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 INNERBELT RD",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 LAKEVIEW AVE",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018263414",
            "telephone_number": "978-256-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ALEXANDRA",
        "middle_name": "MANGO",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC5000952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "MANGO",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christa Potter, RPH
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• Jason Peter Pujo, DMD
• Barbara A Purtell, COTA/L
• Benjamin David Purtell, DPT
• Elizabeth Ralphs, OTR/L
• Lori Rambeau, RPH
• Cerelia Rand, MSW
• RB Dental , LLC
• Reliable Healthcare Inc

• Mental Health Counselor in Dracut, MA
• Providers in Dracut, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.