ALI WANTIMBA NPI 1053102434

NPI Information

  • NPI: 1053102434
  • Provider Name: ALI WANTIMBA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 520 DUDLEY ST
    ROXBURY, MA
    ZIP 02119
  • Phone: (781) 885-4264

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NPI Details

Ali Wantimba is a mental health counselor in Roxbury, MA. Ali Wantimba NPI is 1053102434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 DUDLEY ST
ROXBURY, MA
ZIP 02119-769
Phone: (781) 885-4264

The enumeration date for this NPI number is 5/14/2025 and was last updated on 5/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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