Active NPI
Jessica Mary Auld
- Counselor
- Lynn, MA
National Provider Identifier
1053678383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- S26098983
- Practice address
- 112 Market St
Lynn, MA 01901-1125 - Phone
- (781) 592-5691
- Fax
- (781) 595-4393
- NPI assigned
- Apr 11, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | S26098983 | MA | Primary |
Addresses
Primary practice location
112 Market St
Lynn, MA 01901-1125
Mailing address
20 Livingstone Ave
P. O. Box 472
Beverly, MA 01915-2918
Phone (781) 592-5691
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S26098983 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1053678383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 LIVINGSTONE AVE",
"address_2": "P. O. BOX 472",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152918",
"telephone_number": "781-592-5691",
"fax_number": "781-595-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MARKET ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011125",
"telephone_number": "781-592-5691",
"fax_number": "781-595-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULD",
"first_name": "JESSICA",
"middle_name": "MARY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "S26098983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.