NPIMap

Organization Active NPI

Nicole Cardarelli, LMHC LCC

  • Mental Health Counselor
  • Waltham, MA
National Provider Identifier
1962078840
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NICOLE CARDARELLI, LMHC LCC
Practice address
44 Ellison Park
Waltham, MA 02452-6116
Phone
(617) 458-3121
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Mrs. Nicole Cardarelli, LMHCNPI 1255635512
Title
Business Owner
Phone
(617) 458-3121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

44 Ellison Park
Waltham, MA 02452-6116

Mailing address

44 Ellison Park
Waltham, MA 02452-6116
Phone (617) 458-3121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nicolecardarellilmhc@hushmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1962078840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ELLISON PARK",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024526116",
            "telephone_number": "617-458-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ELLISON PARK",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024526116",
            "telephone_number": "617-458-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE CARDARELLI, LMHC LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "CARDARELLI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "617-458-3121",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nicolecardarellilmhc@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "44 Ellison Park",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024526116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.