Active NPI
Elaina Razack
- Mental Health Counselor
- North Andover, MA
National Provider Identifier
1013731058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 790 Turnpike Street, Suite 203, North Andover, Ma
Suite 302
North Andover, MA 01845 - Phone
- (978) 655-7782
- NPI assigned
- Nov 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
790 Turnpike Street, Suite 203, North Andover, Ma
Suite 302
North Andover, MA 01845
Mailing address
790 Turnpike Street, Suite 203, North Andover, Ma
Suite 302
North Andover, MA 01845
Phone (978) 655-7782
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": "1731542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1013731058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 TURNPIKE STREET, SUITE 203, NORTH ANDOVER, MA",
"address_2": "SUITE 302",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-655-7782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 TURNPIKE STREET, SUITE 203, NORTH ANDOVER, MA",
"address_2": "SUITE 302",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-655-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZACK",
"first_name": "ELAINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.