Rebecca Anne Verdiyan, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

12890-MH-CC Issued in MA

Practice address

47 Washington St Apt 413
Melrose, MA 02176-6083

Phone

(417) 693-9508

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Rebecca Anne Tipsword Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1598413486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 FITCHBURG ST UNIT 1",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721893",
            "telephone_number": "417-693-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WASHINGTON ST APT 413",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021766083",
            "telephone_number": "417-693-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDIYAN",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12890-MH-CC",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "12890-MH-CC",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "12890-MH-CC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "TIPSWORD",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carl Joseph Turissini, MD
• Sarah Katherman Ullian, LICSW
• Lenka Urban, MSC., LCSW
• Katharine Terese Veale, MD
• Kristin E Veillette, PA-C
• Romain D Voufo, RT
• Paul Gerard Vozzo, LICSW
• Canh Vu, MD
• Walgreen Co
• Walgreen Co

• Counselor in Melrose, MA
• Providers in Melrose, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.