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LARA DIMIDJIAN
NPI 1649625088
Counselor - Mental Health in Jamaica Plain, MA

Active since May 03, 2016
75 BICKFORD ST, JAMAICA PLAIN, MA 02130(617) 971-2100 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lara Dimidjian NPPES

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

LARA DIMIDJIAN (NPI 1649625088) is an individual mental health provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (221689) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1649625088
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLARA DIMIDJIAN
Location Address75 BICKFORD STJamaica Plain, MA 02130-1401
Mailing Address75 Bickford StJamaica Plain, MA 02130-1401
Phone(617) 971-2100
Sole ProprietorNo
Enumeration DateMay 3, 2016
✔ NPI 1649625088 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 · 221689
75 BICKFORD ST, Jamaica Plain, MA 02130
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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.

ELISE BLOCK GOTTESMAN LICSW
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-2100
CAITLIN MARIE DACEY RN, CPNP
Nurse Practitioner (Pediatrics)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-2100
MS. IRENE K TERENZONI RD
Dietitian, Registered
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-2131
YAMILEX GONZALEZ BAEZ
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-2100
GABRIELA TEW MSW, LICSW
Social Worker (Clinical)
75 BICKFORD ST
BOSTON, MA 02130
Suffolk County (617) 971-2100
MS. BETHAN LOUISE JONES LICSW
Social Worker (Clinical)
75 BICKFORD ST
BOSTON, MA 02130
Suffolk County (617) 355-0547
MISS MANUELA LOPEZ FLOREZ
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 919-7216
DR. KIM A WILSON MD
Pediatrics
75 BICKFORD ST, MARTHA ELIOT HEALTH CENTER
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-2312

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 Lara Dimidjian's NPI number?

The NPI number for Lara Dimidjian is 1649625088. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Lara Dimidjian located?

Lara Dimidjian practices at 75 Bickford St, Jamaica Plain, MA 02130. The listed phone number is (617) 971-2100.

What is Lara Dimidjian'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 Lara Dimidjian was last updated on May 3, 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.