Individual provider Active NPI

Isabella Mazza, LMHC, R-DMT

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1619776598
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC5000781 Issued in MA
Practice address
255 Park Ave Ste 808
Worcester, MA 01609-1984
Phone
(774) 614-9899
Fax
(508) 919-8187
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X 2608 MA
Mental Health Counselor 101YM0800X LMHC5000781 MA Primary

Addresses

Primary practice location

255 Park Ave Ste 808
Worcester, MA 01609-1984

Mailing address

431A Broadway Apt 24
Somerville, MA 02145-2322
Phone (631) 804-7742

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

LicenseStateTypeSpecialty
LMHC5000781MAMDMental Health Counselor
2608MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Darling Mental Health Mental Health CurrentSince May 18, 2025 Accepting new patients

Locations

255 Park Ave
Ste 808
Worcester, MA 01609
Phone (508) 356-4084

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1619776598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431A BROADWAY APT 24",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452322",
            "telephone_number": "631-804-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 808",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091984",
            "telephone_number": "774-614-9899",
            "fax_number": "508-919-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "ISABELLA",
        "credential": "LMHC, R-DMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "MA",
            "license": "2608",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC5000781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.