MEDICARE: TENDING MINDS COUNSELING PLLC

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	:	1083555734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDING MINDS COUNSELING PLLC

Provider Business Mailing Address
First Line	:	55 STATION LNDG APT 409
Second Line	:
City	:	MEDFORD
State	:	MA
Zip	:	02155-5029
Country	:	US
Telephone Number	:	845-728-1999
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 STATION LNDG APT 409
Second Line	:
City	:	MEDFORD
State	:	MA
Zip	:	02155-5029
Country	:	US
Telephone Number	:	845-728-1999
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALLISON MARTIN
Credential	:	LMHC
Telephone Number	:	845-728-1999

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

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