Lauren Grace Delude

Primary specialty

CounselorTaxonomy code 101Y00000X

License

S29390196 Issued in MA

Practice address

3 Blackburn Ctr
Gloucester, MA 01930-2268

Phone

(978) 491-6682

NPI assigned

Dec 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Justice Resource Institute, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, MA
  • NPI 1093787095
  NPD

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1104465004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 AZALEA WAY",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079166",
            "telephone_number": "413-813-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BLACKBURN CTR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302268",
            "telephone_number": "978-491-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUDE",
        "first_name": "LAUREN",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "S29390196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Dececca
• Anneliese Deckert
• William Barton Deckert
• Anthony Paul Decristoforo
• Suzanne M Degagne
• Jessica Demarjian
• Dental Assoicates of Gloucester, LLC
• Molly Williams Derr
• Marilyn A. Desimone, LICSW
• Bianca Desousa

• All providers in Gloucester, MA
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.