Individual provider Active NPI

Lianna W Malawski

  • Mental Health Counselor
  • South Boston, MA
National Provider Identifier
1538821442
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1226A Columbia Rd
South Boston, MA 02127-3920
Phone
(617) 534-9500
Fax
(617) 534-9515
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1226A Columbia Rd
South Boston, MA 02127-3920

Mailing address

1010 Massachusetts Ave
Boston, MA 02118-2600
Phone (617) 534-3134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507000120 FL Practitioner - Mental Health Counselor 7113444845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Tampa Bay Area CounselingGroup PAC ID 5193176006, 14 clinicians

Practice addresses (Care Compare)

3607 Alt
Suite 19
Palm Harbor, FL 34683-1412
Phone (727) 732-4305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Area Counseling Mental Health CurrentSince Apr 9, 2025 Accepting new patients
Boston Public Health Commission CurrentSince Mar 27, 2022 Accepting new patients
Mindmetrics Mental Health PastSince May 19, 2024 Accepting new patients

Locations

3607 Alt 19
Palm Harbor, FL 34683
Phone (727) 732-4305

1010 Massachusetts Ave
Boston, MA 02118
Phone (617) 419-3408

Organizations & group practices 3

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1538821442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182600",
            "telephone_number": "617-534-3134",
            "fax_number": "857-288-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226A COLUMBIA RD",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021273920",
            "telephone_number": "617-534-9500",
            "fax_number": "617-534-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAWSKI",
        "first_name": "LIANNA",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, MA

Sources for this page

Verify at the official NPI Registry.