Individual provider Active NPI

Darrell Byas

  • Counselor
  • Lawrence, MA
National Provider Identifier
1124572771
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
599 Canal St
3
Lawrence, MA 01840-1244
Phone
(978) 686-8202
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

599 Canal St
3
Lawrence, MA 01840-1244

Mailing address

599 Canal St
3
Lawrence, MA 01840-1244
Phone (978) 686-8202

Other identifiers 1

IdentifierTypeStateIssuer
100209770261MedicaidMA

Other names 1

  • Darrell Spencer Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625004206 MA Practitioner - Mental Health Counselor 9436622941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Pittsburgh, PA 15251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1124572771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 CANAL ST",
            "address_2": "3",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401244",
            "telephone_number": "978-686-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 CANAL ST",
            "address_2": "3",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401244",
            "telephone_number": "978-686-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYAS",
        "first_name": "DARRELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100209770261",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARRELL",
            "last_name": "SPENCER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.