Active NPIIndividual providerSole proprietor

Stanislav Sevostyanov, LMHC

Counselor, Mental Health in Westwood, Massachusetts

NPI Number1033929294
Practice location
248 Providence Hwy # 5005, Westwood, MA 02090-1908
Fax
617-684-6374
Last updated
April 23, 2025

Stanislav Sevostyanov is a Counselor, Mental Health based in Westwood, MA. Stanislav Sevostyanov practices in Westwood, MA and has the professional credentials of LMHC. The NPI Number for Stanislav Sevostyanov is 1033929294 and holds a License No. LMHC10003442 (MA). The current practice location address for Stanislav Sevostyanov is 248 Providence Hwy # 5005, Westwood, MA 02090-1908 and can be reached out via phone at 617-987-4187 and via fax at 617-684-6374.

Provider Profile Details

NPI Number
1033929294
Provider Name
Stanislav Sevostyanov
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
248 Providence Hwy # 5005, Westwood, MA 02090-1908
Phone Number
617-987-4187
Fax Number
617-684-6374
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
January 9, 2025
Last Update Date
April 23, 2025
Certification Date
April 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
248 Providence Hwy # 5005
Westwood, MA 02090-1908
Zip
02090-1908
Phone Number
617-987-4187
Fax Number
617-684-6374
Westwood, MA 02090Get directions →

Provider Business Mailing Address Details

Address
920 Providence Hwy Apt 210
Dedham, MA 02026-6809
City
Dedham
State
MA
Zip
02026-6809
Phone Number
908-627-1973

License Information

License Number
LMHC10003442
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stanislav Sevostyanov, LMHC?

The NPI number of Stanislav Sevostyanov, LMHC is 1033929294. It was assigned on January 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Stanislav Sevostyanov, LMHC?

Stanislav Sevostyanov, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number LMHC10003442.

Where does Stanislav Sevostyanov, LMHC practice?

The practice location is 248 Providence Hwy # 5005, Westwood, MA 02090-1908. The office can be reached at 617-987-4187 (phone) or 617-684-6374 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033929294 directly on the NPPES registry website.

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