NPIMap

Organization Active NPI

Mia L. Carbone & Associates, LLC. Psychotherapy & Wellness Practice

  • Mental Health Counselor
  • Holden, MA
National Provider Identifier
1629441407
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1270 Issued in MA
Legal business name
MIA L. CARBONE & ASSOCIATES, LLC. PSYCHOTHERAPY & WELLNESS PRACTICE
Practice address
674 Main St
Holden, MA 01520-1805
Phone
(978) 235-2335
NPI assigned
Nov 3, 2015
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Ms. Mia Lise Carbone, M.A., LMHC, AY. DNPI 1386701340
Title
Owner/Licensed Psychotherapist
Phone
(978) 235-2335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1270 MA Primary

Addresses

Primary practice location

674 Main St
Holden, MA 01520-1805

Mailing address

674 Main St
Holden, MA 01520-1805
Phone (978) 235-2335

National Provider Directory

National Provider Directory

Locations

674 Main St
Holden, MA 01520
Phone (978) 235-2335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1629441407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 MAIN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201805",
            "telephone_number": "978-235-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 MAIN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201805",
            "telephone_number": "978-235-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA L. CARBONE & ASSOCIATES, LLC. PSYCHOTHERAPY & WELLNESS PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "LISE",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "978-235-2335",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., LMHC, AY. D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.