Kerry Sophie Lavine, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178020536 Issued in IL

Practice address

222 Forbes Rd Ste 207
Braintree, MA 02184-2720

Phone

(781) 990-5310

NPI assigned

Oct 25, 2024

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

Credentials

Master of Arts

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.

• Equilibria Mental Health LLC

  • Community/Behavioral Health Agency
  • Braintree, MA
  • NPI 1972035665
  NPD
• Fox Valley Institute for Growth and Wellness Inc

  • Counselor
  • Naperville, IL
  • NPI 1174637334
  NPD (past)
• Revelations RX PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naperville, IL
  • NPI 1265124846
  NPD (past)

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1184446734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 FORBES RD STE 207",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842720",
            "telephone_number": "781-990-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 FORBES RD STE 207",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842720",
            "telephone_number": "781-990-5310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 N River Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638947",
            "country_code": "US",
            "telephone_number": "630-718-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "KERRY",
        "middle_name": "SOPHIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178020536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Lasoski, PSY.D.
• Jonathan Lathrop
• Amelia Kit Lau
• Lauren Auwood Ma LMFT LLC
• Michael John Lavelle
• Angela Leigh Lavoie, COTA
• Lori Beth Layugan, MSW, LCSW
• Vivian Le, DOCTOR OF PHARMACY
• Nichole Leary
• Carol A. Leavell, PH.D.

• Professional Counselor in Braintree, MA
• Providers in Braintree, MA by specialty
• Professional Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.