Amy Carlson-Pallazola, LMHC, LLC

Key facts

NPI

1629617600

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

AMY CARLSON-PALLAZOLA, LMHC, LLC

Practice address

564 Loring Ave Ste 3
Salem, MA 01970-4276

Phone

(978) 332-1671

NPI assigned

Dec 23, 2019

Organization subpart

No

Authorized official

Name

Amy Carlson-Pallazola, LMHC NPI 1548814866

Title

Owner

Phone

(978) 332-1671

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Carlson-Pallazola, LMHC Mental Health Counselor · Salem, MA · NPI 1548814866
  Medicare reassignment NPD Authorized official MA · MENTAL HEALTH
• Philippa Nielsen, LMHC Mental Health Counselor · Beverly, MA · NPI 1639609563
  NPD (past) MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MA

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 23, 2019.

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1629617600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 LORING AVE STE 3",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704276",
            "telephone_number": "978-332-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 LORING AVE STE 3",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704276",
            "telephone_number": "978-332-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY CARLSON-PALLAZOLA, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "CARLSON-PALLAZOLA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-332-1671",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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