Tina Spadafora

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10002205 Issued in MA

Practice address

122 Lynn Fells Pkwy
Saugus, MA 01906-4145

Phone

(781) 883-1290

NPI assigned

May 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1710365952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LYNN FELLS PKWY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064145",
            "telephone_number": "781-883-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LYNN FELLS PKWY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064145",
            "telephone_number": "781-883-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019607938",
            "country_code": "US",
            "telephone_number": "781-883-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPADAFORA",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002205",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Anna Sisco, M.S., CCC-SLP
• Lida Smadi
• Rachel Socolof, OD
• Jessica M Souffrant
• Orivalda Aparecida Souto
• Stephen Spano, BA, MBA, JD, CELA
• Speech Palate PLLC
• Speech Together LLC
• Steven Spinale
• Raymond Charles Spinazola Jr., LICSW

• Mental Health Counselor in Saugus, MA
• Providers in Saugus, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.