Active NPI
Kristen Malia Antonio, LMHC
- Mental Health Counselor
- Newton, MA
National Provider Identifier
1972813178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11000
- Practice address
- 383 Elliot St Ste 100
Newton, MA 02464-1126 - Phone
- (617) 564-0667
- NPI assigned
- Oct 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 478447 | MA | |
| Specialist | 174400000X | |||
| Mental Health Counselor | 101YM0800X | 11000 | MA | Primary |
Addresses
Primary practice location
383 Elliot St Ste 100
Newton, MA 02464-1126
Mailing address
276 Warren St
Needham, MA 02492-2948
Phone (978) 760-0098
Other practice location 1
320 Rindge Ave
#306
Cambridge, MA 02140-3152
Phone (978) 760-0098
Other names 1
- Kristen Malia Lawson
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 |
|---|---|---|---|
| 11000 | MA | MD | Mental Health Counselor |
| 478447 | MA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1972813178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 WARREN ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922948",
"telephone_number": "978-760-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 ELLIOT ST STE 100",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641126",
"telephone_number": "617-564-0667"
}
],
"practiceLocations": [
{
"address_1": "320 Rindge Ave",
"address_2": "#306",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021403152",
"country_code": "US",
"telephone_number": "978-760-0098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTONIO",
"first_name": "KRISTEN",
"middle_name": "MALIA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-21",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MA",
"license": "478447",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "11000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "LAWSON",
"middle_name": "MALIA",
"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 May 26, 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.