Individual provider Active NPI

Michelle Cecelia Difelice

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1801440805
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
520 Dudley St
Boston, MA 02119-2769
Phone
(617) 445-6655
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

520 Dudley St
Boston, MA 02119-2769

Mailing address

520 Dudley St
Boston, MA 02119-2769
Phone (617) 445-6655

Other practice location 1

1515 Hancock St Ste 304
Quincy, MA 02169-5244
Phone (617) 479-0102

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ACarrington@csrox.org

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

Interoperability endpoints

  • Direct secure messaging: acarrington@csrox.org

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1801440805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 DUDLEY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021192769",
            "telephone_number": "617-445-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 DUDLEY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021192769",
            "telephone_number": "617-445-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Hancock St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021695244",
            "country_code": "US",
            "telephone_number": "617-479-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIFELICE",
        "first_name": "MICHELLE",
        "middle_name": "CECELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ACarrington@csrox.org",
            "affiliation": "N",
            "endpointDescription": "employer email",
            "address_1": "520 Dudley St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021192769",
            "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 Oct 6, 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.