Individual provider Active NPI

Lynette Ingram Cassel, MS, ATR, LMHC

  • Mental Health Counselor
  • Arlington, MA
National Provider Identifier
1588719975
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6326 Issued in MA
Practice address
259 Massachusetts Ave
Arlington, MA 02474-8406
Phone
(617) 855-5749
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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 6326 MA Primary

Addresses

Primary practice location

259 Massachusetts Ave
Arlington, MA 02474-8406

Mailing address

259 Massachusetts Ave
Arlington, MA 02474-8406
Phone (617) 855-5749

Other names 1

  • Lynette Michele Ingram Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 5, 2024 through Sep 5, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6326MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1588719975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748406",
            "telephone_number": "617-855-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748406",
            "telephone_number": "617-855-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSEL",
        "first_name": "LYNETTE",
        "middle_name": "INGRAM",
        "name_prefix": "Ms.",
        "credential": "MS, ATR, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "INGRAM",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.