Active NPI
Laura Kalin, LMHC
- Mental Health Counselor
- Cambridge, MA
National Provider Identifier
1497180483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9419
- Practice address
- 1753 Massachusetts Ave Ste 3
Cambridge, MA 02140-2231 - Phone
- (617) 871-9133
- NPI assigned
- Sep 9, 2013
- Last updated
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | ||
| Mental Health Counselor | 101YM0800X | 9419 | MA | Primary |
Addresses
Primary practice location
1753 Massachusetts Ave Ste 3
Cambridge, MA 02140-2231
Mailing address
1753 Massachusetts Ave Ste 3
Cambridge, MA 02140-2231
Phone (617) 871-9133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 30, 2024 through Jan 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1497180483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1753 MASSACHUSETTS AVE STE 3",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402231",
"telephone_number": "617-871-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1753 MASSACHUSETTS AVE STE 3",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402231",
"telephone_number": "617-871-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALIN",
"first_name": "LAURA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.