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CARMEN MATA
NPI 1053768572
Counselor - Mental Health in Roxbury, MA

Active since May 16, 2016
520 DUDLEY ST, ROXBURY, MA 02119(617) 516-5733 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carmen Mata NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN MATA (NPI 1053768572) is an individual mental health provider in Roxbury, Massachusetts and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1053768572
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARMEN MATA
Location Address520 DUDLEY STRoxbury, MA 02119-2769
Mailing Address520 Dudley StRoxbury, MA 02119-2769 · (617) 516-5733
Phone(617) 516-5733
Sole ProprietorYes
Enumeration DateMay 16, 2016
✔ NPI 1053768572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
520 DUDLEY ST, Roxbury, MA 02119
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Other Identifiers 1

Other100009651281MA · Neighborhood Health Plan

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. EBONEE TROUP BS
Social Worker (Clinical)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 690-9701
LAKEYSHA EGLESTON
Case Manager/Care Coordinator
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 989-9499
AJA JAMES-HUGHES
Community Health Worker
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (774) 297-7277
MARISA MEDEIROS DASILVA MSW
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (978) 505-6286
DOUGLAS BENTON
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 602-7869
UJU ILECHUKWU
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 989-9499
AJANAY HUGHES PEARSON
Counselor (Mental Health)
520 DUDLEY ST
BOSTON, MA 02119
Suffolk County (857) 399-3390
YUKA HAYASHI
Student in an Organized Health Care Education/Training Program
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (857) 919-7922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Mata's NPI number?

The NPI number for Carmen Mata is 1053768572. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Carmen Mata located?

Carmen Mata practices at 520 Dudley St, Roxbury, MA 02119. The listed phone number is (617) 516-5733.

What is Carmen Mata's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Carmen Mata was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.