Individual provider Active NPI

Karen M Beauregard, LMHC, LADC-I

  • Mental Health Counselor
  • Framingham, MA
National Provider Identifier
1093362626
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10961 Issued in MA
Practice address
600 Worcester Rd Ste 501
Framingham, MA 01702-5316
Phone
(774) 505-7788
Fax
(774) 505-7789
NPI assigned
Aug 19, 2019
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18701 MA
Mental Health Counselor 101YM0800X 10961 MA Primary

Addresses

Primary practice location

600 Worcester Rd Ste 501
Framingham, MA 01702-5316

Mailing address

6 Stalker LN
Framingham, MA 01702-5536
Phone (774) 505-7788

Other practice location 1

6 Stalker Ln
Framingham, MA 01702-5536
Phone (774) 505-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 30, 2024 through Dec 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18701MAMDAddiction (Substance Use Disorder) Counselor
10961MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Leggett Group LLC PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1093362626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STALKER LN",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025536",
            "telephone_number": "774-505-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WORCESTER RD STE 501",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025316",
            "telephone_number": "774-505-7788",
            "fax_number": "774-505-7789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Stalker Ln",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017025536",
            "country_code": "US",
            "telephone_number": "774-505-7788",
            "fax_number": "774-505-7789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUREGARD",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMHC, LADC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "18701",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.