Individual provider Active NPI

Erin Laura Vahratian, LMHC

  • Mental Health Counselor
  • West Newbury, MA
National Provider Identifier
1700522794
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13106 Issued in MA
Practice address
171 Main St
West Newbury, MA 01985-1801
Phone
(248) 722-5304
NPI assigned
May 11, 2022
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 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 13106 MA Primary

Addresses

Primary practice location

171 Main St
West Newbury, MA 01985-1801

Mailing address

171 Main St
West Newbury, MA 01985-1801
Phone (248) 722-5304

Other names 1

  • Erin Laura Vahratian Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 9, 2024 through Jul 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13106MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Space Psychotherapy LLC Mental Health CurrentSince Oct 8, 2023 Accepting new patients

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1700522794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST",
            "city": "WEST NEWBURY",
            "state": "MA",
            "postal_code": "019851801",
            "telephone_number": "248-722-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MAIN ST",
            "city": "WEST NEWBURY",
            "state": "MA",
            "postal_code": "019851801",
            "telephone_number": "248-722-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHRATIAN",
        "first_name": "ERIN",
        "middle_name": "LAURA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "13106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "VAHRATIAN",
            "middle_name": "LAURA",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Newbury, MA

Sources for this page

Verify at the official NPI Registry.