Individual provider Active NPI

Evelyn K Stein, MA, MPH

  • Mental Health Counselor
  • Brookline, MA
National Provider Identifier
1962718817
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1622A Beacon St Ste 203
Brookline, MA 02446
Phone
(617) 306-1817
NPI assigned
Aug 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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 Primary

Addresses

Primary practice location

1622A Beacon St Ste 203
Brookline, MA 02446

Mailing address

1622A Beacon St Ste 203
Brookline, MA 02446-2275
Phone (617) 306-1817

Other practice location 1

1 Harvard St Lowr Level
Brookline, MA 02445
Phone (617) 306-1817

Other practice location 2

24 Jefferson Rd
Chestnut Hill, MA 02467-2312
Phone (617) 734-2896

Other practice location 3

1 Harvard St Lowr Level
Brookline, MA 02445
Phone (617) 306-1817

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1962718817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622A BEACON ST STE 203",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462275",
            "telephone_number": "617-306-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622A BEACON ST STE 203",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-306-1817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Harvard St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "02445",
            "country_code": "US",
            "telephone_number": "617-306-1817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Jefferson Rd",
            "address_purpose": "LOCATION",
            "city": "Chestnut Hill",
            "state": "MA",
            "postal_code": "024672312",
            "country_code": "US",
            "telephone_number": "617-734-2896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Harvard St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "02445",
            "country_code": "US",
            "telephone_number": "617-306-1817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "EVELYN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MA, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-28",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.