Dominic Acosta
Individual provider Active NPI Mental Health Counselor · Lexington, MA
NPI 1497581649 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1497581649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 125 Hartwell Ave
Lexington, MA 02421-3100 - Phone
- (781) 861-0890
- NPI assigned
- Sep 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
125 Hartwell Ave
Lexington, MA 02421-3100
Mailing address
125 Hartwell Ave
Lexington, MA 02421-3100
Phone (781) 861-0890
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All providers in Lexington, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.