Active NPI
Emily Lange
- Mental Health Counselor
- Wellesley, MA
National Provider Identifier
1255885315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11463
- Practice address
- 6 Suffolk Rd
Wellesley, MA 02481-2611 - Phone
- (617) 304-1057
- NPI assigned
- Aug 6, 2016
- Last updated
- Apr 9, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11463 | MA | Primary |
Addresses
Primary practice location
6 Suffolk Rd
Wellesley, MA 02481-2611
Mailing address
6 Suffolk Rd
Wellesley, MA 02481-2611
Phone (617) 304-1057
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11463 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellesley Counseling and Wellness, LLC | Mental Health | Current | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1255885315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SUFFOLK RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812611",
"telephone_number": "617-304-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SUFFOLK RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812611",
"telephone_number": "617-304-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-06",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "11463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
- Stephanie A Lam, CCC-SLP
- Lampert Medical PLLC
- Seth David Lampert, MD
- Robert Todd Lancaster, M.D., M.P.H.
- Marlene Lane, M.S., CCC-A/ FAAA
- Language & Learning Centers of America
- Language & Learning Centers of Wellesley Hills LLC (Language & Learning Centers of America)
- Judith E Lappin, MSW
- Nicole Marie Larue
- Ellen S Lathi, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.