Active NPI
Claire Frances Donnelly, A.T.R., L.M.H.C.
- Mental Health Counselor
- Medford, MA
National Provider Identifier
1619232048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8735
- Practice address
- 32 Holton St
Medford, MA 02155-3555 - Phone
- (781) 307-2219
- NPI assigned
- Jul 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8735 | MA | Primary |
| Art Therapist | 221700000X | 12-058 | MA |
Addresses
Primary practice location
32 Holton St
Medford, MA 02155-3555
Mailing address
32 Holton St
Medford, MA 02155-3555
Phone (781) 307-2219
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8735 | MA | MD | Mental Health Counselor |
| 12-058 | MA | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401408000000",
"number": "1619232048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 HOLTON ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553555",
"telephone_number": "781-307-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 HOLTON ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553555",
"telephone_number": "781-307-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "CLAIRE",
"middle_name": "FRANCES",
"name_prefix": "Miss",
"credential": "A.T.R., L.M.H.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2014-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "8735",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "MA",
"license": "12-058",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.