Actualize Counseling & Nutrition LLC
NPI 1316571136 · Clinical Social Worker · Arlington, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Actualize Counseling & Nutrition LLC is a Clinical Social Worker organization in Arlington, MA (NPI 1316571136).
Provider details
- NPI number
- 1316571136
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Keovongsa, Owner(781) 430-9833
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2020-03-02
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Frequently asked questions
- What is Actualize Counseling & Nutrition LLC's NPI number?
- Actualize Counseling & Nutrition LLC's National Provider Identifier (NPI) is 1316571136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Actualize Counseling & Nutrition LLC?
- Actualize Counseling & Nutrition LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Actualize Counseling & Nutrition LLC located?
- Actualize Counseling & Nutrition LLC's practice location on file with NPPES is 30 Standish Rd, Arlington, MA 02476-7069.
- What is Actualize Counseling & Nutrition LLC's phone number?
- The practice phone number listed in the NPPES registry for Actualize Counseling & Nutrition LLC is (781) 430-9833.
- Does Actualize Counseling & Nutrition LLC accept Medicare?
- Actualize Counseling & Nutrition LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Actualize Counseling & Nutrition LLC?
- The authorized official listed on Actualize Counseling & Nutrition LLC's NPPES record is Lisa Keovongsa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Actualize Counseling & Nutrition LLC's NPI active?
- Yes — Actualize Counseling & Nutrition LLC's NPI (1316571136) is active in the NPPES registry as of the last update on 2023-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.