Active NPI
Alba De Simone, PHD
- Mental Health Counselor
- Chelsea, MA
National Provider Identifier
1790857605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15
- Practice address
- 80 Everett Ave
Suite 10
Chelsea, MA 02150-2339 - Phone
- (671) 889-4311
- Fax
- (617) 889-4311
- NPI assigned
- Nov 15, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15 | MA | Primary |
Addresses
Primary practice location
80 Everett Ave
Suite 10
Chelsea, MA 02150-2339
Mailing address
80 Everett Ave
Suite 10
Chelsea, MA 02150-2339
Phone (671) 889-4311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891618 | Medicaid | MA | |
| LM0068 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260316001352 | MA | Practitioner - Mental Health Counselor | 8022591254 | Practice locations: Chelsea, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
80 Everett Ave
Suite 10
Chelsea, MA 02150-2360
Phone (617) 889-4311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1790857605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 EVERETT AVE",
"address_2": "SUITE 10",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502339",
"telephone_number": "671-889-4311",
"fax_number": "617-889-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 EVERETT AVE",
"address_2": "SUITE 10",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502339",
"telephone_number": "671-889-4311",
"fax_number": "617-889-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE SIMONE",
"first_name": "ALBA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "15",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891618",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "LM0068",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.