Individual provider Active NPI

Christina Rosa, LMHC

  • Mental Health Counselor
  • Ashburnham, MA
National Provider Identifier
1922491661
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9923 Issued in MA
Practice address
203 Lakeshore Dr
Ashburnham, MA 01430-3062
Phone
(978) 855-0286
NPI assigned
Mar 5, 2015
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9923 MA Primary

Addresses

Primary practice location

203 Lakeshore Dr
Ashburnham, MA 01430-3062

Mailing address

203 Lakeshore Dr
Ashburnham, MA 01430-3062
Phone (978) 855-0286

Other names 1

  • Christina Shimek Former name

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
I20250429003439 MA Practitioner - Mental Health Counselor 4587180856 Practice locations: Ashburnham, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

203 Lakeshore Dr
Ashburnham, MA 01430-3062
Phone (978) 855-0286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1922491661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LAKESHORE DR",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014303062",
            "telephone_number": "978-855-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LAKESHORE DR",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014303062",
            "telephone_number": "978-855-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "CHRISTINA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "SHIMEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashburnham, MA

Sources for this page

Verify at the official NPI Registry.