=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609980275
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID JOSEPH ALPERT LMHC, LADC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2006
-----------------------------------------------------
Last Update Date | 08/27/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5 WATSON RD LOWR LEVEL
-----------------------------------------------------
City | BELMONT
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02478-3924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-401-1106
-----------------------------------------------------
Fax | 781-942-5886
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27 PECK AVE
-----------------------------------------------------
City | WAYLAND
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01778-4519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-401-1106
-----------------------------------------------------
Fax | 781-942-5886
-----------------------------------------------------
=====================================================
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 | 896
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | LMHC #896
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 659
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | 896
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | LADC #659
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------