Active NPI
Maureen E Lane, LMHC
- Mental Health Counselor
- Gloucester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10002133
- 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
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 | 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10002133 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Third Space Therapy PLLC | Mental Health | Current | Accepting new patients |
| Supportive Behavioral Care of Mass LLC | Social Worker | Current | Accepting new patients |
| Supportive Behavioral Care of Ma LLC | Current | 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.
-
- Clinical Psychologist
- Needham, MA
- NPI 1780115519
-
- Mental Health Counselor
- New York, NY
- NPI 1043156029
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.