Eleonora Rose Costa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10005524 Issued in MA

Practice address

3 Lowe Dr
Gloucester, MA 01930-5236

Phone

(978) 979-8104

NPI assigned

Dec 2, 2017

Reactivated

Feb 18, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ellie Mortillaro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1689189458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARRIE LN",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302328",
            "telephone_number": "978-979-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LOWE DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305236",
            "telephone_number": "978-979-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "ELEONORA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "deactivation_date": "2026-02-07",
        "reactivation_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10005524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "MORTILLARO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas John Connolly, MSW
• Crystal Ann Contrino, M.A.
• Amanda Cook
• Bethany Cook
• Norma A Cooney, LICSW
• Katherine Cota Macdonald
• Reilly Erin Coughlin
• William D Crosby, LIC. AC.
• Crossover Health Medical Group
• Benjamin Cruz, PT

• All providers in Gloucester, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.