MEDICARE: MANTRA MENTAL HEALTH COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1023621414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANTRA MENTAL HEALTH COUNSELING LLC

Provider Business Mailing Address
First Line	:	53 LANGLEY RD STE 340
Second Line	:
City	:	NEWTON CENTRE
State	:	MA
Zip	:	02459-1919
Country	:	US
Telephone Number	:	617-545-4969
Fax Number	:	617-608-1962

Provider Business Practice Location Address
First Line	:	53 LANGLEY RD STE 340
Second Line	:
City	:	NEWTON CENTRE
State	:	MA
Zip	:	02459-1919
Country	:	US
Telephone Number	:	617-545-4969
Fax Number	:	617-608-1962

Authorized Official
Title or Position	:	PRACTICE OWNER & LMHC
Name	:	ERIKA VARGAS
Credential	:	LMHC
Telephone Number	:	617-545-4969

Provider Enumeration Date	:	08/26/2020
Last Update Date	:	10/30/2025

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