Irene Antonellis, M.A.
Individual provider Active NPI Mental Health Counselor · Lexington, MA
NPI 1649594151 · NPPES record last updated Mar 26, 2010
Key facts
- NPI
- 1649594151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 13 Pelham Rd
Lexington, MA 02421-5707 - Phone
- (781) 274-6800
- Fax
- (781) 274-0900
- NPI assigned
- Mar 26, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelham Academy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
13 Pelham Rd
Lexington, MA 02421-5707
Mailing address
13 Pelham Rd
Lexington, MA 02421-5707
Phone (781) 274-6800
Other providers in Lexington, MA
- Lisa Pagliaro Andrianopoulos
- Jaelyn Angelo
- Lois Angelo
- Naomi Angoff Chedd
- Ronit Antebi-Hadar
- Caitlin Winters Apel
- Lisa Ellen Arbesfeld
- Rachel Nicole Archibald
- Mikaela Kimberly Army
- Luther K Arnold
All providers in Lexington, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.