Individual provider Active NPI

Raimi Marx, MED

  • Mental Health Counselor
  • Somerville, MA
National Provider Identifier
1538517610
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
117 Summer St
Somerville, MA 02143-2706
Phone
(781) 445-0071
NPI assigned
May 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

117 Summer St
Somerville, MA 02143-2706

Mailing address

32 Forbes St Apt 1
Jamaica Plain, MA 02130-4871
Phone (732) 956-6905

Other practice location 1

230 Highland Ave
attn: SON 603
Somerville, MA 02143-1408
Phone (617) 591-6779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care, Inc. CurrentSince Apr 26, 2021 Accepting new patients

Locations

117 Summer St
Somerville, MA 02143
Phone (617) 284-5130

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1538517610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FORBES ST APT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304871",
            "telephone_number": "732-956-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SUMMER ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432706",
            "telephone_number": "781-445-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Highland Ave",
            "address_2": "attn: SON 603",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021431408",
            "country_code": "US",
            "telephone_number": "617-591-6779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARX",
        "first_name": "RAIMI",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.