Organization Active NPI

Carlos G. Semedo, LMHC

  • Public Health or Welfare Agency
  • Brockton, MA
National Provider Identifier
1497370688
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CARLOS G. SEMEDO, LMHC
Practice address
567 Pleasant St
Brockton, MA 02301-2507
Phone
(774) 257-5230
NPI assigned
Jun 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Carlos G Semedo, LMHCNPI 1508492661
Title
Clinician/Owner
Phone
(617) 890-9402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

567 Pleasant St
Brockton, MA 02301-2507

Mailing address

567 Pleasant Street, Suite 103
Brockton, MA 02301
Phone (774) 257-5230

Other names 1

  • Psychotherapy/Counselling Doing business as

National Provider Directory

National Provider Directory

Locations

567 Pleasant St
Ste 103
Brockton, MA 02301

567 Pleasant St
Brockton, MA 02301
Phone (508) 583-3377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1497370688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 PLEASANT STREET, SUITE 103",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "774-257-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012507",
            "telephone_number": "774-257-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS G. SEMEDO, LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "SEMEDO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "617-890-9402",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychotherapy/Counselling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.