IndividualActive
Ian Iwanicki
NPI 1053135087 · Mental Health Counselor · Boston, MA
Ian Iwanicki is a Mental Health Counselor provider in Boston, MA (NPI 1053135087).
Provider details
- NPI number
- 1053135087
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
867 Boylston Street
5th Floor #2050
Boston, MA 02116
Phone: (617) 356-7787
Fax: (857) 264-5776
Street-level locationGet directions
Mailing address
867 Boylston Street
Boston, MA 02116
Registry dates
- Enumerated
- 2024-11-15
- Last updated
- 2024-11-15
- Certified
- 2024-11-14
Frequently asked questions
- What is Ian Iwanicki's NPI number?
- Ian Iwanicki's National Provider Identifier (NPI) is 1053135087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ian Iwanicki's specialty?
- Ian Iwanicki is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Ian Iwanicki located?
- Ian Iwanicki's practice location on file with NPPES is 867 Boylston Street, Boston, MA 02116.
- What is Ian Iwanicki's phone number?
- The practice phone number listed in the NPPES registry for Ian Iwanicki is (617) 356-7787.
- Is Ian Iwanicki's NPI active?
- Yes — Ian Iwanicki's NPI (1053135087) is active in the NPPES registry as of the last update on 2024-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.