Individual provider Active NPI

Rachel Lee

  • Marriage & Family Therapist
  • Woburn, MA
National Provider Identifier
1154547982
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1357 Issued in MA
Practice address
12 Alfred St Ste 200
Woburn, MA 01801-1915
Phone
(781) 646-0500
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1357 MA Primary

Addresses

Primary practice location

12 Alfred St Ste 200
Woburn, MA 01801-1915

Mailing address

12 Alfred St Ste 200
Woburn, MA 01801-1915
Phone (781) 646-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240820000044 NY Practitioner - Marriage and Family Therapist 4385182575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eden Center for Integrative CareGroup PAC ID 0749634640, 7 clinicians

Practice addresses (Care Compare)

7 Murray St
Glens Falls, NY 12801-4311
Phone (518) 636-5284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001737NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eden Center for Integrative Care CurrentSince Jul 22, 2024 Accepting new patients
Shannon James Nurse Practitioner in Psychiatry P.C CurrentSince Jul 22, 2024 Accepting new patients

Locations

84 Broad St
Ste 2
Glens Falls, NY 12801
Phone (518) 636-5284

7 Murray St
Glens Falls, NY 12801
Phone (518) 743-1010

195 Church St
Saratoga Springs, NY 12866
Phone (518) 581-9100

Organizations & group practices 2

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1154547982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ALFRED ST STE 200",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011915",
            "telephone_number": "781-646-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ALFRED ST STE 200",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011915",
            "telephone_number": "781-646-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.