Individual provider Active NPI

Theoni Kolas, MA

  • Mental Health Counselor
  • East Boston, MA
National Provider Identifier
1982324828
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10002908 Issued in MA
Practice address
14 Porter St
East Boston, MA 02128-2116
Phone
(617) 884-4357
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 LMHC10002908 MA Primary

Addresses

Primary practice location

14 Porter St
East Boston, MA 02128-2116

Mailing address

305 Saratoga St Apt 2
East Boston, MA 02128-4909
Phone (507) 226-6823

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
I20241002000813 MA Practitioner - Mental Health Counselor 4082145024 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
North Suffolk Community Services Inc. CurrentSince Sep 6, 2024 Accepting new patients

Locations

301 Broadway
Chelsea, MA 02150
Phone (617) 889-4860

14 Porter St
East Boston, MA 02128
Phone (617) 569-3189

265 Beach St
Revere, MA 02151
Phone (781) 289-9331

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1982324828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SARATOGA ST APT 2",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021284909",
            "telephone_number": "507-226-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PORTER ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282116",
            "telephone_number": "617-884-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAS",
        "first_name": "THEONI",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Boston, MA

Sources for this page

Verify at the official NPI Registry.