Active NPI
Martine Rossell, LMHC, ATR-BC
- Mental Health Counselor
- Newton, MA
National Provider Identifier
1942798533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10511
- Practice address
- 109 Oak St Ste 201
Newton, MA 02464-1493 - Phone
- (617) 977-5372
- Fax
- (617) 458-8644
- NPI assigned
- Apr 29, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10511 | MA | Primary |
| Medical Art Specialist/Technologist | 246ZA2600X | 18011 | MA |
Addresses
Primary practice location
109 Oak St Ste 201
Newton, MA 02464-1493
Mailing address
109 Oak St Ste 201
Newton, MA 02464-1493
Phone (617) 977-5372
Other names 1
- Martine Colepaugh
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
109 Oak St
Suite 201
Newton, MA 02464-1493
Phone (617) 977-5372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18011 | MA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Boston Mental Health, PLLC | Mental Health | Current | Accepting new patients |
Locations
450 Bedford St
Ste 2400
Lexington, MA 02420
Phone (781) 633-7779
109 Oak St
Ste 201
Newton Upper Falls, MA 02464
Phone (617) 302-9171
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Newton, MA
- NPI 1184313397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1942798533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 OAK ST STE 201",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641493",
"telephone_number": "617-977-5372",
"fax_number": "617-458-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 OAK ST STE 201",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641493",
"telephone_number": "617-977-5372",
"fax_number": "617-458-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSELL",
"first_name": "MARTINE",
"credential": "LMHC, ATR-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-29",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "10511",
"primary": true
},
{
"code": "246ZA2600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Art, Medical",
"state": "MA",
"license": "18011",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARTINE",
"last_name": "COLEPAUGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.