Lisa E Bastos, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

20 Eastbook Rd
Suite 103
Dedham, MA 02026

Phone

(781) 329-9365

NPI assigned

Sep 28, 2009

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lisa Russell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The May Institute, Inc

  • Behavior Analyst
  • Randolph, MA
  • NPI 1356318125
  NPD (past)
• Toward Independent Living & Learning, Inc.

  dba TILL, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dedham, MA
  • NPI 1992898035
  NPD (past)
• Toward Independent Living and Learning

  dba TILL Medical Group

  • Neurology Physician
  • Dedham, MA
  • NPI 1528294832
  NPD (past)

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1770817538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TOWNE ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604008",
            "telephone_number": "602-568-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EASTBOOK RD",
            "address_2": "SUITE 103",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "781-329-9365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 West St",
            "address_purpose": "LOCATION",
            "city": "Walpole",
            "state": "MA",
            "postal_code": "020811819",
            "country_code": "US",
            "telephone_number": "508-660-1510",
            "fax_number": "508-660-3122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Towne St",
            "address_purpose": "LOCATION",
            "city": "North Attleboro",
            "state": "MA",
            "postal_code": "027604008",
            "country_code": "US",
            "telephone_number": "602-568-3581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTOS",
        "first_name": "LISA",
        "middle_name": "E",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "685661",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026265E",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RUSSELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessa Mae Bargares
• Connie S Barr, M.D.
• Alexa Barrett
• Kenneth Robert Barrett Jr., LCSW
• Allison Weinberg Barton, L.M.H.C.
• Sarah Baum, PT
• Emma Baumgartel
• Carolyn F Baxter, PT
• Bayada Home Health Care, Inc.
• Julie Bazinet

• Mental Health Counselor in Dedham, MA
• Providers in Dedham, 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 Sep 8, 2020; 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.