Njlarocque Counseling, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

114971 Issued in MA

Legal business name

NJLAROCQUE COUNSELING, LLC

Practice address

525 Massachusetts Ave Ste 101F
Acton, MA 01720-2963

Phone

(617) 331-1180

Fax

(888) 430-8150

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Nicole Jean Larocque, LICSWNPI 1316265374

Title

Owner/Manager

Phone

(617) 331-1180

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Jean Larocque, LICSW

  • Clinical Social Worker
  • Acton, MA
  • NPI 1316265374
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1013420181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MASSACHUSETTS AVE STE 101F",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202963",
            "telephone_number": "617-331-1180",
            "fax_number": "888-430-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MASSACHUSETTS AVE STE 101F",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202963",
            "telephone_number": "617-331-1180",
            "fax_number": "888-430-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJLAROCQUE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "LAROCQUE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "617-331-1180",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "114971",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MA",
            "license": "114971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Mieli Newman
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• Joseph M Niro, O.D.
• Nisiima Healthcare Inc
• Kim Nolan, RN
• Conor Nordengren, DPT
• North Acton Dental
• Meredith Norton
• Katherine O'Brien, RD, LDN

• Adult Mental Health Clinic/Center in Acton, MA
• Providers in Acton, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.