Individual provider Active NPI

Maryum Raheem

  • Mental Health Counselor
  • Dedham, MA
National Provider Identifier
1699651364
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10003817 Issued in MA
Practice address
1000 Presidents Way Apt 1207
Dedham, MA 02026-4566
Phone
(862) 229-3595
NPI assigned
Aug 15, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC01097200 NJ
Mental Health Counselor 101YM0800X LMHC10003817 MA Primary

Addresses

Primary practice location

1000 Presidents Way Apt 1207
Dedham, MA 02026-4566

Mailing address

1000 Presidents Way Apt 1207
Dedham, MA 02026-4566

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
LMHC10003817MAMDMental Health Counselor
37PC01097200NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1699651364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PRESIDENTS WAY APT 1207",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PRESIDENTS WAY APT 1207",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264566",
            "telephone_number": "862-229-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHEEM",
        "first_name": "MARYUM",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01097200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10003817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.