Healthcare Provider Details

I. General information

NPI: 1407791197
Provider Name (Legal Business Name): MASTRANGELO COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53A MAGNOLIA ST
ARLINGTON MA
02474-8725
US

IV. Provider business mailing address

53A MAGNOLIA ST
ARLINGTON MA
02474-8725
US

V. Phone/Fax

Practice location:
  • Phone: 617-634-9971
  • Fax:
Mailing address:
  • Phone: 617-634-9971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA MASTRANGELO
Title or Position: OWNER
Credential: PHD, MA, LMHC
Phone: 617-634-9971