OrganizationActive
Actualize Counseling & Nutrition LLC
NPI 1316571136 · Clinical Social Worker · Arlington, MA
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
Established profile(64/100 index)
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
30 Standish Rd
Arlington, MA 02476-7069
Phone: (781) 430-9833
Street-level locationGet directions
Mailing address
30 Standish Rd
Arlington, MA 02476-7069
Registry dates
- Enumerated
- 2020-03-02
- Last updated
- 2023-09-25
- Certified
- 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.