Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255153227 Individual Practitioner Male Practitioner

Mark Antonellis

Counselor • Boston, MA

Professional Overview & Biography Verified Profile Summary

Mark Antonellis is a registered healthcare professional specializing in Counselor in Boston, MA. Practice services are available at 10 GUEST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10 Guest St

Boston, MA 021352066

Telephone 6174698500
Associated Practice Facility / Clinic
🏢 The Home For Little Wanderers Facility NPI 1710045364

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
264 Specialists

Practicing in Boston, MA (9162 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-29
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Timothy Roy , BA, MSW, LCSW

Social Worker - Clinical

NPI 1003047945

Bachelor of Arts, Master of Social Work, Licensed Clinical Social Worker

April Herrera

Student in an Organized Health Care Education/Training Program

NPI 1003697061
Mary Puccia

Social Worker

NPI 1023434172
Elizabeth Guerrant , LMHC

Counselor - Mental Health

NPI 1023526654

Licensed Mental Health Counselor

NPI 1043048564

Master of Social Work, Licensed Clinical Social Worker

Matthew Mahla , MA

Student in an Organized Health Care Education/Training Program

NPI 1043753775

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 30, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2024

Registered at 10 GUEST ST, BOSTON, MA 021352066 (Tel: 6174698500)

📍
Updated Business Mailing Address October 30, 2024

Registered at 17 MONIQUE DR, BELLINGHAM, MA 020191019

👤
Provider Name / Credentials Updated October 30, 2024

Recorded as MARK ANTONELLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2024

Counselor

🟢
Initial NPI Registration & Enumeration October 30, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255153227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2024
Last Update: October 30, 2024
Sole Proprietor: No

Mailing Address

17 Monique Dr

Bellingham, MA 020191019

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.