Lara Dimidjian
Counselor, Mental Health in Jamaica Plain, Massachusetts
1649625088- Practice location
- 75 Bickford St, Jamaica Plain, MA 02130-1401
- Phone
- 617-971-2100
- Fax
- —
- Last updated
- May 3, 2016
Lara Dimidjian is a Counselor, Mental Health based in Jamaica Plain, MA. Lara Dimidjian practices in Jamaica Plain, MA. The NPI Number for Lara Dimidjian is 1649625088 and holds a License No. 221689 (MA). The current practice location address for Lara Dimidjian is 75 Bickford St, Jamaica Plain, MA 02130-1401 and can be reached out via phone at 617-971-2100.
Provider Profile Details
- NPI Number
- 1649625088
- Provider Name
- Lara Dimidjian
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 75 Bickford St, Jamaica Plain, MA 02130-1401
- Phone Number
- 617-971-2100
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 3, 2016
- Last Update Date
- May 3, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Bickford St
Jamaica Plain, MA 02130-1401 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-1401
- Phone Number
- 617-971-2100
Provider Business Mailing Address Details
- Address
- 75 Bickford St
Jamaica Plain, MA 02130-1401 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-1401
License Information
- License Number
- 221689
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Jamaica Plain, MA
View all Counselor, Mental Health providers in Jamaica Plain →- Adrienne P De Vaughn, LSW, LMHCCounselor, Mental Health · NPI 1588206668
- Andrea V BermudezCounselor, Mental Health · NPI 1639031701
- Anne M BaroneCounselor, Mental Health · NPI 1538419163
- Annette B GeldzahlerCounselor, Mental Health · NPI 1568642858
- Anwar AlananzehCounselor, Mental Health · NPI 1558045161
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Frequently Asked Questions
What is the NPI number of Lara Dimidjian?
The NPI number of Lara Dimidjian is 1649625088. It was assigned on May 3, 2016 and is currently active in the NPPES registry.
What is the specialty of Lara Dimidjian?
Lara Dimidjian is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 221689.
Where does Lara Dimidjian practice?
The practice location is 75 Bickford St, Jamaica Plain, MA 02130-1401. The office can be reached at 617-971-2100 (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 1649625088 directly on the NPPES registry website.