Individual provider Active NPI

Alan Leroy Robinson, MA LCSW 200877 MA MF

  • Marriage & Family Therapist
  • Jamaica Plain, MA
National Provider Identifier
1710052642
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT363 Issued in MA
Practice address
30 St Rose St
No 1
Jamaica Plain, MA 02130-3907
Phone
(617) 522-2420
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW200877 MA
Marriage & Family Therapist 106H00000X MFT363 MA Primary

Addresses

Primary practice location

30 St Rose St
No 1
Jamaica Plain, MA 02130-3907

Mailing address

30 St Rose St
No 1
Jamaica Plain, MA 02130-3907
Phone (617) 522-2420

Other identifiers 4

IdentifierTypeStateIssuer
R0MH0368OtherMABCBS OF MA
200877OtherMALCSW
363OtherMAMFT
410883OtherMASECUNE HORIZON

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

LicenseStateTypeSpecialty
LCSW200877MAMDClinical Social Worker
MFT363MAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1710052642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ST ROSE ST",
            "address_2": "NO 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303907",
            "telephone_number": "617-522-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ST ROSE ST",
            "address_2": "NO 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303907",
            "telephone_number": "617-522-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ALAN",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "MA LCSW 200877 MA MF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW200877",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "MFT363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "R0MH0368",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "200877",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT",
            "identifier": "363",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECUNE HORIZON",
            "identifier": "410883",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.