Active NPI
Carolyn Searles
- Counselor
- Lynn, MA
National Provider Identifier
1205476553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 112 Market St Ste 2
Lynn, MA 01901-1148 - Phone
- (781) 592-5691
- NPI assigned
- Jan 14, 2020
- Last updated
- Jan 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
112 Market St Ste 2
Lynn, MA 01901-1148
Mailing address
147 Saratoga St
East Boston, MA 02128-1614
Phone (617) 913-2586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justice Resource Institute, Inc. | Current | Accepting new patients |
Locations
112 Market St
Ste 2
Lynn, MA 01901
Phone (781) 592-5691
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba JRI Behavioral Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salem, MA
- NPI 1093787095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1205476553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 SARATOGA ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281614",
"telephone_number": "617-913-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MARKET ST STE 2",
"city": "LYNN",
"state": "MA",
"postal_code": "019011148",
"telephone_number": "781-592-5691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARLES",
"first_name": "CAROLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.