Active NPI
Richard E. Corbett, LMHC/LADC-I
- Mental Health Counselor
- Arlington, MA
National Provider Identifier
1962648741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 102
- Practice address
- 12 Arnold St
Arlington, MA 02476-5602 - Phone
- (781) 641-1642
- NPI assigned
- Dec 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10 | MA | |
| Mental Health Counselor | 101YM0800X | 102 | MA | Primary |
Addresses
Primary practice location
12 Arnold St
Arlington, MA 02476-5602
Mailing address
12 Arnold St
Arlington, MA 02476-5602
Phone (781) 641-1642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70010000LM0146 | Other | MA | BCBSMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10 | MA | MD | Mental Health Counselor |
| 102 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230336000000",
"number": "1962648741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 ARNOLD ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024765602",
"telephone_number": "781-641-1642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 ARNOLD ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024765602",
"telephone_number": "781-641-1642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "RICHARD",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "LMHC/LADC-I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-27",
"last_updated": "2008-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "10",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "70010000LM0146",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.