Active NPI
Theodore Robert Chelmow, LMHC
- Mental Health Counselor
- Arlington, MA
National Provider Identifier
1639483191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 382 Massachusetts Avenue
Apartment 806
Arlington, MA 02474 - Phone
- (508) 333-7699
- NPI assigned
- Jul 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MA | Primary |
Addresses
Primary practice location
382 Massachusetts Avenue
Apartment 806
Arlington, MA 02474
Mailing address
382 Massachusetts Avenue
Apartment 806
Arlington, MA 02474
Phone (508) 333-7699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 15, 2024 through Oct 15, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1639483191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 MASSACHUSETTS AVENUE",
"address_2": "APARTMENT 806",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "02474",
"telephone_number": "508-333-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 MASSACHUSETTS AVENUE",
"address_2": "APARTMENT 806",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "02474",
"telephone_number": "508-333-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELMOW",
"first_name": "THEODORE",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.