Stephanie Rosalyn Lazarte-Berkowitz, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10000664 Issued in MA

Practice address

17 Walden St
Concord, MA 01742-2504

Phone

(617) 867-5466

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Stephanie Rosalyn Suryana Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1841785250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WALDEN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422504",
            "telephone_number": "617-867-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WALDEN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422504",
            "telephone_number": "617-867-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARTE-BERKOWITZ",
        "first_name": "STEPHANIE",
        "middle_name": "ROSALYN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SURYANA",
            "middle_name": "ROSALYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas George Lareau, M.D.
• Susan E Lavallee, DPT
• Hengameh Lavasanifar, PHARMD
• Christina Lavorna, MAT
• Karen Lawson, LICSW
• Jane Le, PA
• Leadership Psychology Services Inc
• Allison P. Learned, NP
• Alice Lee, M.A., CCC-SLP
• Monica SE-Ting Lee, M.D.

• Mental Health Counselor in Concord, MA
• Providers in Concord, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.