Active NPI
Nassima Mouhoubi
- Counselor
- Boston, MA
National Provider Identifier
1730748104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 105 Chauncy St FL 5
Boston, MA 02111-1726 - Phone
- (617) 542-0338
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
105 Chauncy St FL 5
Boston, MA 02111-1726
Mailing address
105 Chauncy St FL 5
Boston, MA 02111-1726
Phone (617) 542-0338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | boston |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1730748104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CHAUNCY ST FL 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111726",
"telephone_number": "617-542-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CHAUNCY ST FL 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111726",
"telephone_number": "617-542-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUHOUBI",
"first_name": "NASSIMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "boston",
"affiliation": "N",
"address_1": "105 Chauncy St Fl 5",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021111726",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.