Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720453657 Individual Practitioner Male Practitioner

Nelson Lizardo

Counselor • Roxbury, MA

Professional Overview & Biography Verified Profile Summary

Nelson Lizardo is a registered healthcare professional specializing in Counselor in Roxbury, MA. Practice services are available at 245 EUSTIS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

245 Eustis St

Roxbury, MA 021192826

Telephone 6174451123
Associated Practice Facility / Clinic
🏢 Casa Esperanza, Inc. Facility NPI 1205060621

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Roxbury, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
248 Specialists

Practicing in Roxbury, MA (9162 Statewide)

Telehealth Adoption Rate
0.0% 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

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID None
11111 (MA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tanya Joseph , RECOVERY SPECIALIST

Clinic/Center - Recovery Care

NPI 1003534314

RECOVERYSPECIALIST

Jessica Ray-Mendoza , MA

Counselor - Mental Health

NPI 1033584024

Master of Arts

Richard Lopez

Peer Specialist

NPI 1063916401
Natasha Cruz

Counselor - Addiction (Substance Use Disorder)

NPI 1083089676
Juan Grullon

Counselor - Addiction (Substance Use Disorder)

NPI 1104320357
Raul Saenz

Counselor - Addiction (Substance Use Disorder)

NPI 1104369727

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2015

Registered at 245 EUSTIS ST, ROXBURY, MA 021192826 (Tel: 6174451123)

📍
Updated Business Mailing Address December 03, 2015

Registered at 40 RADDIN GROVE AVE, LYNN, MA 019051965 (Tel: 2018890714)

👤
Provider Name / Credentials Updated December 03, 2015

Recorded as NELSON LIZARDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2015

Counselor

🟢
Initial NPI Registration & Enumeration December 03, 2015

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: 1720453657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2015
Last Update: December 03, 2015
Sole Proprietor: No

Mailing Address

40 Raddin Grove Ave

Lynn, MA 019051965

Phone: 2018890714

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.