Active NPI
Robert Michael Landers, M.A., LMHC
- Mental Health Counselor
- Lexington, MA
National Provider Identifier
1710020003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6510
- Practice address
- 1666 Massachusetts Ave
Suite Three
Lexington, MA 02421 - Phone
- (339) 970-8540
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6510 | MA | Primary |
Addresses
Primary practice location
1666 Massachusetts Ave
Suite Three
Lexington, MA 02421
Mailing address
91 Fifer Lane
Lexington, MA 02420
Phone (339) 970-8540
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6510 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1710020003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 FIFER LANE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "02420",
"telephone_number": "339-970-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1666 MASSACHUSETTS AVE",
"address_2": "SUITE THREE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "02421",
"telephone_number": "339-970-8540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"credential": "M.A., LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.