Active NPI
Christine Reale, LICSW
- School Counselor
- Harvard, MA
National Provider Identifier
1871001263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 1024234
- Practice address
- 14 Mass Ave
Harvard, MA 01451-1653 - Phone
- (978) 456-4152
- NPI assigned
- Jan 19, 2018
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 1024234 | MA | Primary |
Addresses
Primary practice location
14 Mass Ave
Harvard, MA 01451-1653
Mailing address
14 Mass Ave
Harvard, MA 01451-1653
Phone (978) 456-4150
Other practice location 1
57 Twin Spring Drive
Boylston, MA 01505
Phone (508) 869-3444
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 |
|---|---|---|---|
| 1024234 | MA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1871001263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MASS AVE",
"city": "HARVARD",
"state": "MA",
"postal_code": "014511653",
"telephone_number": "978-456-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MASS AVE",
"city": "HARVARD",
"state": "MA",
"postal_code": "014511653",
"telephone_number": "978-456-4152"
}
],
"practiceLocations": [
{
"address_1": "57 Twin Spring Drive",
"address_purpose": "LOCATION",
"city": "Boylston",
"state": "MA",
"postal_code": "01505",
"country_code": "US",
"telephone_number": "508-869-3444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REALE",
"first_name": "CHRISTINE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MA",
"license": "1024234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvard, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.