1. Home
  2. Directory
  3. Massachusetts
  4. Dedham
  5. Clinic Center
  6. NPI Profile

PROVIDENCE COUNSELING, LLC
NPI 1114717410
Clinic/Center - Mental Health (Including Community Mental Health Center) in Dedham, MA

Active since May 09, 2025
920 PROVIDENCE HWY, DEDHAM, MA 02026(617) 987-4187(617) 684-6374 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, May 9, 2025 (2 updates tracked since 2025).

About Providence Counseling, Llc NPPES

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

PROVIDENCE COUNSELING, LLC (NPI 1114717410) is a healthcare organization registered as a mental health (including community mental health center) in Dedham, Massachusetts and active in the NPI registry since May 2025. The organization lists Stanislav Sevostyanov, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1114717410
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROVIDENCE COUNSELING, LLC
Location Address920 PROVIDENCE HWYDedham, MA 02026
Mailing Address920 Providence HwyDedham, MA 02026-6809 · (617) 987-4187 · Fax (617) 684-6374
Phone(617) 987-4187
Fax(617) 684-6374
Organization SubpartNo
Authorized OfficialStanislav SevostyanovOwner/therapist · (617) 987-4187
Enumeration DateMay 9, 2025
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1114717410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
920 PROVIDENCE HWY, Dedham, MA 02026
Open in Google Maps ↗

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 Providence Counseling, LLC's NPI number?

The NPI number for Providence Counseling, LLC is 1114717410. It was assigned to this organization in the NPPES registry on May 9, 2025.

Where is Providence Counseling, LLC located?

Providence Counseling, LLC is located at 920 Providence Hwy, Dedham, MA 02026. The listed phone number is (617) 987-4187.

What is Providence Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Providence Counseling, LLC was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.