Individual provider Active NPI

Martha Clarisa Aliaga, LMHC

  • Mental Health Counselor
  • Lawrence, MA
National Provider Identifier
1700089083
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5095 Issued in MA
Practice address
101 Amesbury St Ste 205
Lawrence, MA 01840-1311
Phone
(978) 689-5504
Fax
(978) 203-6081
NPI assigned
Jun 6, 2007
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 5095 MA Primary

Addresses

Primary practice location

101 Amesbury St Ste 205
Lawrence, MA 01840-1311

Mailing address

101 Amesbury St Ste 205
Lawrence, MA 01840-1311
Phone (978) 689-5504

Other identifiers 1

IdentifierTypeStateIssuer
110075018AMedicaidMA

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
I20240812000591 MA Practitioner - Mental Health Counselor 1557809423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Amesbury St
Suite 205
Lawrence, MA 01840-1311
Phone (978) 689-5504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Martha's Counseling, Inc. CurrentSince Aug 4, 2024 Accepting new patients
Martha's Counseling, Inc. Current Accepting new patients

Locations

101 Amesbury St
Ste 205
Lawrence, MA 01840
Phone (978) 601-2005

60 Island St
Ste 81
Lawrence, MA 01840
Phone (978) 689-5504

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, 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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1700089083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AMESBURY ST STE 205",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401311",
            "telephone_number": "978-689-5504",
            "fax_number": "978-203-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AMESBURY ST STE 205",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401311",
            "telephone_number": "978-689-5504",
            "fax_number": "978-203-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIAGA",
        "first_name": "MARTHA",
        "middle_name": "CLARISA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110075018A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.