Individual provider Active NPI

Emily Stewart Macomber, LMHC

  • Mental Health Counselor
  • Lexington, MA
National Provider Identifier
1649644899
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9444 Issued in MA
Practice address
789 Massachusetts Ave Ste 4
Lexington, MA 02420-3927
Phone
(781) 862-4171
NPI assigned
Nov 25, 2015
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9444 MA Primary

Addresses

Primary practice location

789 Massachusetts Ave Ste 4
Lexington, MA 02420-3927

Mailing address

0 Governors Ave Ste 24
Medford, MA 02155-3097

Other names 1

  • Emily Stewart Former name

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

State licenses

LicenseStateTypeSpecialty
9444MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elm Psychotherapy LLC CurrentSince Jul 12, 2020 Accepting new patients

Locations

789 Massachusetts Ave
Ste 4
Lexington, MA 02420
Phone (781) 862-4171

0 Governors Ave
Ste 24
Medford, MA 02155
Phone (781) 862-4171

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1649644899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0 GOVERNORS AVE STE 24",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 MASSACHUSETTS AVE STE 4",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024203927",
            "telephone_number": "781-862-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART MACOMBER",
        "first_name": "EMILY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "STEWART",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.