Active NPI
Geovanni Ricardo Livingston
- Mental Health Counselor
- Dorchester, MA
National Provider Identifier
1639608318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 805 Blue Hill Ave
Dorchester, MA 02124-1603 - Phone
- (617) 506-8188
- NPI assigned
- Jun 7, 2017
- Last updated
- Mar 17, 2018
- 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 | NU | Primary |
Addresses
Primary practice location
805 Blue Hill Ave
Dorchester, MA 02124-1603
Mailing address
895 Blue Hill Ave
Dorchester, MA 02124-2902
Phone (617) 506-8188
Other practice location 1
39 John St # 1
Attleboro, MA 02703-2027
Phone (808) 561-0497
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1639608318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021242902",
"telephone_number": "617-506-8188",
"fax_number": "617-297-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021241603",
"telephone_number": "617-506-8188"
}
],
"practiceLocations": [
{
"address_1": "39 John St # 1",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027032027",
"country_code": "US",
"telephone_number": "808-561-0497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "GEOVANNI",
"middle_name": "RICARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.