Individual provider Active NPI

Martine Rossell, LMHC, ATR-BC

  • Mental Health Counselor
  • Newton, MA
National Provider Identifier
1942798533
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10511 Issued in MA
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

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
I20231222002910 MA Practitioner - Mental Health Counselor 3779938378 Reassigns benefits to 1 organization

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
Metro Boston Mental Health, PLLCGroup PAC ID 2860847464, 17 clinicians

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

LicenseStateTypeSpecialty
18011MAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Boston Mental Health, PLLC Mental Health CurrentSince Mar 29, 2023 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.

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

Verify at the official NPI Registry.