Provider Demographics
NPI:1912040163
Name:BARBARISI, MELANIE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:BARBARISI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 520248
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:MA
Mailing Address - Zip Code:02152-0005
Mailing Address - Country:US
Mailing Address - Phone:617-285-2642
Mailing Address - Fax:617-846-1281
Practice Address - Street 1:207 HAGMAN RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-2933
Practice Address - Country:US
Practice Address - Phone:617-285-2642
Practice Address - Fax:617-846-1281
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7089101YA0400X, 101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional