Active NPI
Eva Pearl Rubinoff, LMHC
- Mental Health Counselor
- Wellesley, MA
National Provider Identifier
1831803600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13517
- Practice address
- 80 Walnut St
Wellesley, MA 02481-2102 - Phone
- (617) 564-0123
- NPI assigned
- Jan 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 13517 | MA | Primary |
Addresses
Primary practice location
80 Walnut St
Wellesley, MA 02481-2102
Mailing address
80 Walnut St
Wellesley, MA 02481-2102
Phone (617) 564-0123
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | Epic | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13517 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seasons of Change Counseling LLC | Mental Health | Current | Accepting new patients |
| Newton Pediatrics LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Pittsfield, MA
- NPI 1942162474
-
- Exclusive Provider Organization
- Chestnut Hill, MA
- NPI 1346552080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1831803600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WALNUT ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812102",
"telephone_number": "617-564-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WALNUT ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812102",
"telephone_number": "617-564-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINOFF",
"first_name": "EVA",
"middle_name": "PEARL",
"name_prefix": "Miss",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "13517",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "Epic",
"affiliation": "N",
"endpointDescription": "Electronic mental records",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "80 Walnut St",
"city": "Wellesley",
"state": "MA",
"country_code": "US",
"postal_code": "024812102",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.