Individual provider Active NPI

Daiana Dacosta, MS, LMHC

  • Marriage & Family Therapist
  • Stow, MA
National Provider Identifier
1841458775
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT1111 Issued in FL
Practice address
132 Great Rd Ste 200
Stow, MA 01775
Phone
(978) 263-0439
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT1111 FL Primary

Addresses

Primary practice location

132 Great Rd Ste 200
Stow, MA 01775

Mailing address

41 Boston Rd Unit 123
North Billerica, MA 01862-1040
Phone (954) 803-1906

Other practice location 1

450 East Atlantic Blvd
Pompano Beach, FL 33060
Phone (954) 781-4405

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716003099 MA Practitioner - Mental Health Counselor 6709391840 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMT1111FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. CurrentSince Jun 1, 2025 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jun 1, 2025 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 1, 2026 Accepting new patients
Charles E. Streff Past Accepting new patients
Streff Associates, LLC PastSince Oct 17, 2016 Accepting new patients
Spectrum Programs Inc Marriage & Family Therapist Past Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1841458775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BOSTON RD UNIT 123",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621040",
            "telephone_number": "954-803-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 GREAT RD STE 200",
            "city": "STOW",
            "state": "MA",
            "postal_code": "01775",
            "telephone_number": "978-263-0439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 East Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "33060",
            "country_code": "US",
            "telephone_number": "954-781-4405",
            "fax_number": "954-785-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACOSTA",
        "first_name": "DAIANA",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, MA

Sources for this page

Verify at the official NPI Registry.