Individual provider Active NPI

Lisa Provost, MA

  • Counselor
  • Rockland, MA
National Provider Identifier
1225108525
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
100 Ledgewood PL
Rockland, MA 02370-1075
Phone
(781) 871-6550
Fax
(781) 871-5973
NPI assigned
Nov 8, 2006
Last updated
Dec 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

100 Ledgewood PL
Rockland, MA 02370-1075

Mailing address

2 Papas Holw
Plymouth, MA 02360-2678
Phone (508) 280-0563

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
I20240125001920 MA Practitioner - Mental Health Counselor 9830542992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Practice addresses (Care Compare)

118 Long Pond Rd
Suite 106
Plymouth, MA 02360-2662
Phone (508) 747-6762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc CurrentSince Aug 26, 2024 Accepting new patients
Advocates, Inc CurrentSince Aug 26, 2024 Accepting new patients
Advocates, Inc. Current Accepting new patients
FCP, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

1881 Worcester Rd
Framingham, MA 01701

360 Merrimack St
Ste 3
Lawrence, MA 01843
Phone (978) 687-1617

118 Long Pond Rd
Plymouth, MA 02360
Phone (508) 747-6762

118 Long Pond Rd
Ste 106
Plymouth, MA 02360
Phone (508) 747-6762

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1225108525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PAPAS HOLW",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602678",
            "telephone_number": "508-280-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LEDGEWOOD PL",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023701075",
            "telephone_number": "781-871-6550",
            "fax_number": "781-871-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "LISA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, MA

Sources for this page

Verify at the official NPI Registry.