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DR. TAHIRA LODGE PHD
NPI 1245822113
Counselor - Mental Health in Jamaica Plain, MA

Active since February 11, 2021PECOS Enrolled
49 ROBINWOOD AVE, JAMAICA PLAIN, MA 02130(617) 390-1220(617) 390-1595 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tahira Lodge Phd NPPES

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

DR. TAHIRA LODGE PHD (NPI 1245822113) is an individual mental health provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (7139) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245822113
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. TAHIRA LODGECredential: PHD
Location Address49 ROBINWOOD AVEJamaica Plain, MA 02130-2156
Mailing Address76 Willowwood StDorchester, MA 02124-4030 · (617) 510-5957
Phone(617) 390-1220
Fax(617) 390-1595
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
✔ NPI 1245822113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 7139
49 ROBINWOOD AVE, Jamaica Plain, MA 02130
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tahira Lodge Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557820297
PECOS Enrollment IDI20260824003164
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tahira Lodge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC
1,768 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Massachusetts enrollment
  • 94 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. LISA M PLUMLEY LICSW
Social Worker (Clinical)
49 ROBINWOOD AVE
BOSTON, MA 02130
Suffolk County (617) 522-4400
HAILEY ANN FISHER LCSW
Social Worker (Clinical)
49 ROBINWOOD AVE
BOSTON, MA 02130
Suffolk County (617) 522-4400
ARBOUR HOSPITAL
Psychiatric Hospital
49 ROBINWOOD AVE
BOSTON, MA 02130
Suffolk County (617) 522-4400
ROBYN A VENUTI LICSW
Case Manager/Care Coordinator
49 ROBINWOOD AVE
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1372
MEGAN MARIE COONCE
Counselor (Mental Health)
49 ROBINWOOD AVE
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1485
MARK I BIGELOW LMHC
Counselor (Mental Health)
49 ROBINWOOD AVE
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1316
TOMASZ WAWRZYNIAK
Counselor
49 ROBINWOOD AVE
JAMAICA PLAIN, MA 02130
Suffolk County (781) 871-6550
ANDREW STEVEN NAKRIN M.D.
Anesthesiology
49 ROBINWOOD AVE, ARBOUR HOSPITAL
JAMAICA PLAIN, MA 02130
Suffolk County (617) 522-4400

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 Tahira Lodge's NPI number?

The NPI number for Tahira Lodge is 1245822113. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Tahira Lodge located?

Tahira Lodge practices at 49 Robinwood Ave, Jamaica Plain, MA 02130. The listed phone number is (617) 390-1220.

What is Tahira Lodge's specialty?

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

Is Tahira Lodge enrolled in Medicare?

Yes. Tahira Lodge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tahira Lodge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tahira Lodge reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tahira Lodge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tahira Lodge accept?

Health plans from Harvard Pilgrim Health Care list Tahira Lodge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tahira Lodge was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.