Active NPI
Jean Marques Laforest, COUNSELOR
- Community Health Worker
- Somerville, MA
National Provider Identifier
1003004292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 230 Highland Ave
S.O.N, Room 401
Somerville, MA 02143-1408 - Phone
- (617) 591-6780
- Fax
- (617) 591-6784
- NPI assigned
- Oct 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
230 Highland Ave
S.O.N, Room 401
Somerville, MA 02143-1408
Mailing address
230 Highland Ave
S.O.N, Room 401
Somerville, MA 02143-1408
Phone (617) 591-6780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1003004292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 HIGHLAND AVE",
"address_2": "S.O.N, ROOM 401",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431408",
"telephone_number": "617-591-6780",
"fax_number": "617-591-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HIGHLAND AVE",
"address_2": "S.O.N, ROOM 401",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431408",
"telephone_number": "617-591-6780",
"fax_number": "617-591-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFOREST",
"first_name": "JEAN",
"middle_name": "MARQUES",
"name_prefix": "Mr.",
"credential": "COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.