Individual provider Active NPI

Gabriela Kotliar, LMHC

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1942221809
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5716 Issued in MA
Practice address
31 Bowker St
Boston, MA 02114-2917
Phone
(617) 371-3020
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 5716 MA Primary

Addresses

Primary practice location

31 Bowker St
Boston, MA 02114-2917

Mailing address

65 Cottage St
Watertown, MA 02472-1513

Other identifiers 1

IdentifierTypeStateIssuer
1302272MedicaidMA

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
I20240320002746 MA Practitioner - Mental Health Counselor 2668819129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Artrelief LLCGroup PAC ID 5496192957, 2 clinicians

Practice addresses (Care Compare)

151 Newton St
Waltham, MA 02453-8642
Phone (617) 924-1285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5716MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Artrelief LLC Current Accepting new patients
Artrelief LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Bay Cove Human Services, Inc Past Accepting new patients

Locations

151 Newton St
Waltham, MA 02453
Phone (617) 924-1285

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942221809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 COTTAGE ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BOWKER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142917",
            "telephone_number": "617-371-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLIAR",
        "first_name": "GABRIELA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1302272",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.