Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Actualize Counseling & Nutrition LLC

Organization Mental Health Counselor · NPI 1316571136

Actualize Counseling & Nutrition LLC is a Mental Health Counselor in Arlington, Massachusetts. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 Standish Rd
Arlington, MA 02476-7069
Phone: (781) 430-9833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X
Obesity and Weight Management Nutrition Registered Dietitian Taxonomy 133VN1201X

Record details

NPI number1316571136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Keovongsa — Owner · (781) 430-9833
NPI enumeratedMarch 2, 2020
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address30 Standish Rd, Arlington, MA 02476-7069

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