Active NPIIndividual provider

Audrey Gavin

Counselor, Mental Health in Milton, Massachusetts

NPI Number1053609081
Practice location
34 Russell St, Milton, MA 02186-3535
Fax
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Last updated
April 21, 2026

Audrey Gavin is a Counselor, Mental Health based in Milton, MA. Audrey Gavin practices in Milton, MA. The NPI Number for Audrey Gavin is 1053609081 and holds a License No. 219589 (MA). The current practice location address for Audrey Gavin is 34 Russell St, Milton, MA 02186-3535 and can be reached out via phone at 617-331-0051.

Provider Profile Details

NPI Number
1053609081
Provider Name
Audrey Gavin
Provider Entity Type
Individual
Gender
Female
Address
34 Russell St, Milton, MA 02186-3535
Phone Number
617-331-0051
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2011
Last Update Date
April 21, 2026
Certification Date
April 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Russell St
Milton, MA 02186-3535
City
Milton
Zip
02186-3535
Phone Number
617-331-0051
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
34 Russell St
Milton, MA 02186-3535
City
Milton
State
MA
Zip
02186-3535
Phone Number
617-331-0051

License Information

License Number
219589
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 Audrey Gavin?

The NPI number of Audrey Gavin is 1053609081. It was assigned on July 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Audrey Gavin?

Audrey Gavin is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 219589.

Where does Audrey Gavin practice?

The practice location is 34 Russell St, Milton, MA 02186-3535. The office can be reached at 617-331-0051 (phone).

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 1053609081 directly on the NPPES registry website.

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