Individual provider Active NPI

Marelin Yanira Recinos Padilla, LICSW

  • Mental Health Counselor
  • Lowell, MA
National Provider Identifier
1699146944
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
125860 Issued in MA
Practice address
391 Varnum Ave
Lowell, MA 01854-2119
Phone
(978) 674-6744
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 125860 MA Primary

Addresses

Primary practice location

391 Varnum Ave
Lowell, MA 01854-2119

Mailing address

391 Varnum Ave
Lowell, MA 01854-2119
Phone (978) 674-6744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422001652 MA Practitioner - Clinical Social Worker 1052836152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125860MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vinfen Corporation CurrentSince Mar 24, 2025 Accepting new patients
Caminos Counseling LLC PastSince Jul 22, 2025 Accepting new patients

Locations

950 Cambridge St
Cambridge, MA 02141
Phone (617) 441-1743

391 Varnum Ave
Lowell, MA 01854
Phone (978) 322-5120

40 Church St
Lowell, MA 01852
Phone (978) 458-6282

40 Church St
Fl 1
Lowell, MA 01852

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1699146944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542119",
            "telephone_number": "978-674-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542119",
            "telephone_number": "978-674-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECINOS PADILLA",
        "first_name": "MARELIN",
        "middle_name": "YANIRA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "125860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.