Active NPI
Emmanuel NA Alexandre X
- Pastoral Counselor
- Randolph, MA
National Provider Identifier
1730044868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- LN85421
- Practice address
- 89 Acorn Dr
Randolph, MA 02368-5502 - Phone
- (617) 828-1774
- NPI assigned
- Dec 20, 2025
- Last updated
- Dec 20, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | LN85421 | MA | Primary |
Addresses
Primary practice location
89 Acorn Dr
Randolph, MA 02368-5502
Mailing address
89 Acorn Dr
Randolph, MA 02368-5502
Phone (617) 828-1774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN85421 | MA | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766188800000",
"number": "1730044868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 ACORN DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023685502",
"telephone_number": "617-828-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 ACORN DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023685502",
"telephone_number": "617-828-1774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDRE",
"first_name": "EMMANUEL",
"middle_name": "NA",
"name_prefix": "Mr.",
"name_suffix": "X",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-20",
"last_updated": "2025-12-20",
"certification_date": "2025-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "MA",
"license": "LN85421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.