CHRISTOPHER JOHN MEDEIROS LMHC
NPI 1407196512
Counselor - Mental Health in Jamaica Plain, MA

Q: What is Christopher Medeiros's NPI number?

The NPI number for Christopher Medeiros is 1407196512. It was assigned to this individual provider in the NPPES registry on February 26, 2013.

Q: What is Christopher Medeiros's specialty?

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

Q: Is Christopher Medeiros enrolled in Medicare?

No. Christopher Medeiros has opted out of Medicare through September 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since February 26, 2013Opted out of Medicare · through Sep 17, 2026

157 GREEN ST, JAMAICA PLAIN, MA 02130(617) 390-1454 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Christopher John Medeiros Lmhc NPPES

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

CHRISTOPHER JOHN MEDEIROS LMHC (NPI 1407196512) is an individual mental health provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (1304) and active in the NPI registry since February 2013. He has opted out of Medicare through September 17, 2026.

NPPES Registry Identity

NPI1407196512

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameCHRISTOPHER JOHN MEDEIROSCredential: LMHC

Location Address157 GREEN STJamaica Plain, MA 02130-2667

Mailing Address3305 Washington St, Apt 2Jamaica Plain, MA 02130-2639 · (617) 620-0121

Phone(617) 390-1454

Sole ProprietorYes

Enumeration DateFebruary 26, 2013

✔ NPI 1407196512 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 · 1304

157 GREEN ST, Jamaica Plain, MA 02130

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Christopher John Medeiros Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 17, 2024 through September 17, 2026.

Opt-Out Effective DateSeptember 17, 2024

Opt-Out In Effect ThroughSeptember 17, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. LESLIE ANN OSTROW M.A., PH.D.

Counselor (Mental Health)