Active NPI
Elite Behavioral Services Inc
- Mental Health Counselor
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ELITE BEHAVIORAL SERVICES INC
- Practice address
- 27 Ridgecrest Terrae #14B
Boston, MA 02132 - Phone
- (617) 460-3079
- NPI assigned
- Dec 5, 2022
- Organization subpart
- Yes
- Parent organization
- ELITE BEHAVIORAL SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James M Smith, LMHC
- Title
- Ceo
- Phone
- (617) 460-3079
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
27 Ridgecrest Terrae #14B
Boston, MA 02132
Mailing address
1834 Centre St #547
Boston, MA 02132
Phone (617) 460-3079
National Provider Directory
National Provider Directory- Part of
- Elite Behavioral Services Inc
Locations
1834 Centre St
#547
West Roxbury, MA 02132
Phone (617) 460-3079
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Medford, MA
- NPI 1851714653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670198400000",
"number": "1528778180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1834 CENTRE ST #547",
"city": "BOSTON",
"state": "MA",
"postal_code": "02132",
"telephone_number": "617-460-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 RIDGECREST TERRAE #14B",
"city": "BOSTON",
"state": "MA",
"postal_code": "02132",
"telephone_number": "617-460-3079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE BEHAVIORAL SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELITE BEHAVIORAL SERVICES INC",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "617-460-3079",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.