=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205754942
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MS. SARA MADISON COHN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2026
-----------------------------------------------------
Last Update Date | 07/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 TRADECENTER STE 5879
-----------------------------------------------------
City | WOBURN
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01801-7452
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-556-6256
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1340 COMMONWEALTH AVE APT 12A
-----------------------------------------------------
City | ALLSTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02134-3922
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-556-6256
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | LMHC10006687
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------