Active NPI
Jeremiah Morelock, LMFT
- Marriage & Family Therapist
- Woburn, MA
National Provider Identifier
1164567459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT1365
- Practice address
- 400 Tradecenter Ste 5900
Woburn, MA 01801-7471 - Phone
- (617) 519-5952
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 6098A | NC | |
| Marriage & Family Therapist | 106H00000X | LMFT1365 | MA | Primary |
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
400 Tradecenter Ste 5900
Woburn, MA 01801-7471
Mailing address
30A Park Dr Unit a
Woburn, MA 01801-2218
Phone (617) 519-5952
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 Tradecenter
Suite 5900
Woburn, MA 01801-7471
Phone (617) 519-5952
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT1365 | MA | MD | Marriage & Family Therapist |
| 6098A | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Health Services, LLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Professional | Current | Accepting new patients |
| Nova Initia Counseling, LLC | Past | Accepting new patients | |
| The Childrens Home | Past | Accepting new patients | |
| The Children'S Home | Past | Accepting new patients |
Locations
101 Federal St
Boston, MA 02110
Phone (206) 744-8030
199 Rosewood Dr
Ste 300
Danvers, MA 01923
Phone (978) 291-7066
30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
-
- Mental Health Counselor
- Haverhill, MA
- NPI 1699123828
-
- Community/Behavioral Health Agency
- Franklin, NC
- NPI 1124189485
-
- Community/Behavioral Health Agency
- Franklin, NC
- NPI 1962563221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1164567459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30A PARK DR UNIT A",
"city": "WOBURN",
"state": "MA",
"postal_code": "018012218",
"telephone_number": "617-519-5952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TRADECENTER STE 5900",
"city": "WOBURN",
"state": "MA",
"postal_code": "018017471",
"telephone_number": "617-519-5952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELOCK",
"first_name": "JEREMIAH",
"name_prefix": "Dr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "6098A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "LMFT1365",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.