Active NPI
Daiana Dacosta, MS, LMHC
- Marriage & Family Therapist
- Stow, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMT1111
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT1111 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Community Physicians Inc. | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| Charles E. Streff | Past | Accepting new patients | |
| Streff Associates, LLC | Past | 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.
-
- Internal Medicine Physician
- Haverhill, MA
- NPI 1891112637
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
-
- Social Worker
- Acton, MA
- NPI 1003368937
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Lauderdale, FL
- NPI 1902852304
Marriage & Family Therapist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.