Organization Active NPI

Derbali Counseling LLC

  • Community/Behavioral Health Agency
  • Cambridge, MA
National Provider Identifier
1790580702
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DERBALI COUNSELING LLC
Practice address
100 Banks St Apt 1
Cambridge, MA 02138-6120
Phone
(617) 833-1130
NPI assigned
Feb 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Leyla DerbaliNPI 1366173593
Title
Owner
Phone
(617) 833-1130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 Banks St Apt 1
Cambridge, MA 02138-6120

Mailing address

100 Banks St Apt 1
Cambridge, MA 02138-6120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1790580702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BANKS ST APT 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021386120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BANKS ST APT 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021386120",
            "telephone_number": "617-833-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERBALI COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "DERBALI",
        "authorized_official_first_name": "LEYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-833-1130"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.