Individual provider Active NPI

Maureen E Lane, LMHC

  • Mental Health Counselor
  • Gloucester, MA
National Provider Identifier
1063163970
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10002133 Issued in MA
Practice address
20 Great Hill Rd
Gloucester, MA 01930-1513
Phone
(508) 284-2389
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10002133 MA Primary

Addresses

Primary practice location

20 Great Hill Rd
Gloucester, MA 01930-1513

Mailing address

20 Great Hill Rd
Gloucester, MA 01930-1513
Phone (508) 284-2389

Other names 1

  • Maureen Ellen Farrell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217002117 MA Practitioner - Mental Health Counselor 4688101520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians
Supportive Behavioral Care of Mass LLCGroup PAC ID 8123530169, 49 clinicians

Practice addresses (Care Compare)

101 Federal St
Boston, MA 02110-1817
Phone (323) 205-7088

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

7 Loring Hills Ave
Salem, MA 01970-4267
Phone (718) 506-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10002133MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Third Space Therapy PLLC Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Supportive Behavioral Care of Mass LLC Social Worker CurrentSince May 13, 2025 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Nov 15, 2024 Accepting new patients
New York State Health Medical PC Mental Health Past Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

2 Beaumont Ave
Brockton, MA 02302
Phone (508) 588-8500

7 Loring Hills Ave
Salem, MA 01970
Phone (978) 741-5700

11 North St
Stoneham, MA 02180
Phone (603) 759-4559

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

169 Madison Ave
Ste 11299
New York, NY 10016
Phone (833) 244-4878

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1063163970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GREAT HILL RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301513",
            "telephone_number": "508-284-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GREAT HILL RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301513",
            "telephone_number": "508-284-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MAUREEN",
        "middle_name": "E",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10002133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "FARRELL",
            "middle_name": "ELLEN",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.