Individual provider Active NPI

Lisa Gaughran, PH.D., L.M.H.C.

  • Mental Health Counselor
  • Amherst, MA
National Provider Identifier
1184893786
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4426 Issued in MA
Practice address
37 S Pleasant St
Amherst, MA 01002-2238
Phone
(413) 253-9928
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4426 MA Primary

Addresses

Primary practice location

37 S Pleasant St
Amherst, MA 01002-2238

Mailing address

PO Box 117
Amherst, MA 01004-0117
Phone (413) 253-9928

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
I20241212003845 MA Practitioner - Mental Health Counselor 1254867260 Practice locations: Amherst, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

37 S Pleasant St
Amherst, MA 01002-2882
Phone (413) 253-9928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4426MAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1184893786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010040117",
            "telephone_number": "413-253-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S PLEASANT ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022238",
            "telephone_number": "413-253-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGHRAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.