Individual provider Active NPI

Jessica Lahens, LICSW

  • Mental Health Counselor
  • Methuen, MA
National Provider Identifier
1104136449
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
21 Hemenway St
Methuen, MA 01844-4845
Phone
(978) 494-0483
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

21 Hemenway St
Methuen, MA 01844-4845

Mailing address

21 Hemenway St
Methuen, MA 01844-4845

Other practice location 1

30 Tremont St
Boscawen, NH 03303-1328
Phone (603) 753-1034

Other practice location 2

200 Friberg Pkwy
Westborough, MA 01581-3991
Phone (774) 512-2910

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://southbaycommunityservices.com/contact-us/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 Northeastern Blvd
Suite 350
Nashua, NH 03062-3139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2956NHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1104136449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HEMENWAY ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HEMENWAY ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444845",
            "telephone_number": "978-494-0483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Tremont St",
            "address_purpose": "LOCATION",
            "city": "Boscawen",
            "state": "NH",
            "postal_code": "033031328",
            "country_code": "US",
            "telephone_number": "603-753-1034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Friberg Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015813991",
            "country_code": "US",
            "telephone_number": "774-512-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAHENS",
        "first_name": "JESSICA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://southbaycommunityservices.com/contact-us/",
            "affiliation": "N",
            "address_1": "200 Friberg Pkwy",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015813991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.