MEDICARE: MASTRANGELO COUNSELING

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	:	1407791197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASTRANGELO COUNSELING

Provider Business Mailing Address
First Line	:	53A MAGNOLIA ST
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-8725
Country	:	US
Telephone Number	:	617-634-9971
Fax Number	:

Provider Business Practice Location Address
First Line	:	53A MAGNOLIA ST
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-8725
Country	:	US
Telephone Number	:	617-634-9971
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JESSICA MASTRANGELO
Credential	:	PHD, MA, LMHC
Telephone Number	:	617-634-9971

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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