Active NPI
Ellen Lara, MA
- Counselor
- New Bedford, MA
National Provider Identifier
1013124155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 30-32R Gifford St
New Bedford, MA 02744 - Phone
- (508) 999-3126
- Fax
- (508) 991-8579
- NPI assigned
- May 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
30-32R Gifford St
New Bedford, MA 02744
Mailing address
PO Box 2097
New Bedford, MA 02741-2097
Phone (508) 999-3126
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013124155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2097",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027412097",
"telephone_number": "508-999-3126",
"fax_number": "508-991-8579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30-32R GIFFORD ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02744",
"telephone_number": "508-999-3126",
"fax_number": "508-991-8579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "ELLEN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.