Northeast Independent Living Program Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

NORTHEAST INDEPENDENT LIVING PROGRAM INC

Practice address

20 Ballard Rd
Lawrence, MA 01843-1018

Phone

(978) 687-4288

Fax

(978) 689-4488

NPI assigned

Mar 29, 2007

Last updated

Aug 14, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Pellegrino

Title

Ceo

Phone

(978) 245-8480

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1003936774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BALLARD RD",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431018",
            "telephone_number": "978-687-4288",
            "fax_number": "978-689-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BALLARD RD",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431018",
            "telephone_number": "978-687-4288",
            "fax_number": "978-689-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST INDEPENDENT LIVING PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-245-8480"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "5800161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Andover Medical Center
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• Northeast Family Services of Maine
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• Jeffrey A Norton, M.D.
• Marina Page Norton
• David M. Novick, M.D.

• Counselor in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.