Dr Ehsan Adib Shabahang, PHD, LMHC, NCC in Cambridge, MA

Dr Ehsan Adib Shabahang, PHD, LMHC, NCC is a medicare enrolled "Counselor" provider in Cambridge, Massachusetts. His current practice location is 100 Landsdowne St Apt 1810, Cambridge, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 906-6767.

Dr Ehsan Adib Shabahang is licensed to practice in Massachusetts (license number 10003605) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720739824.

Contact Information

	Dr Ehsan Adib Shabahang, PHD, LMHC, NCC
	100 Landsdowne St Apt 1810, Cambridge, MA 02139-4247
	(617) 906-6767
	(617) 693-6040

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ehsan Adib Shabahang
Gender	Male
Speciality	Counselor
Location	100 Landsdowne St Apt 1810, Cambridge, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720739824
Provider Enumeration Date: 01/11/2022
Last Update Date: 06/17/2026

Medicare PECOS Information:

PECOS PAC ID: 6305287244
Enrollment ID: I20240509002813

Medical Identifiers

Medical identifiers for Dr Ehsan Adib Shabahang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720739824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	88146 (Texas)	Secondary
101Y00000X	Counselor	6401224763 (Michigan)	Secondary
101Y00000X	Counselor	20487 (North Carolina)	Secondary
101Y00000X	Counselor	10003605 (Massachusetts)	Primary
101Y00000X	Counselor	10501 (South Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ehsan Adib Shabahang allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ehsan Adib Shabahang is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ehsan Adib Shabahang, PHD, LMHC, NCC 68 Harrison Ave, Ste 605 Pmb 866561, Boston, MA 02111-1929 Ph: (832) 850-1283	Dr Ehsan Adib Shabahang, PHD, LMHC, NCC 100 Landsdowne St Apt 1810, Cambridge, MA 02139-4247 Ph: (617) 906-6767

Reviews and Comments

Counselor in Cambridge, MA

Glorimar Gonzalez-raices, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Dudley St, Cambridge, MA 02140 Phone: 413-265-4794
Marisa Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1158 Massachusetts Ave Fl 3, Cambridge, MA 02138 Phone: 857-314-0554
Mr. Pavan S. Brar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St Rm 239, Cambridge, MA 02139 Phone: 617-575-5399
Carlos Suarez, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Sacramento St, Cambridge, MA 02138 Phone: 617-354-2275 Fax: 617-547-4356
Patrick Cullen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Massachusetts Ave, Cambridge, MA 02139 Phone: 978-500-9570
Aisling Hegarty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Hilliard St, Cambridge, MA 02138 Phone: 978-831-2695
Susan M Dingsor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Cambridge St, Cambridge, MA 02141 Phone: 617-547-0909

Dr Ehsan Adib Shabahang, PHD, LMHC, NCC - Medicare Counselor in Cambridge, MA