Active NPI
Jessica Lahens, LICSW
- Mental Health Counselor
- Methuen, MA
National Provider Identifier
1104136449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2956 | NH | MD | Physical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.