Individual provider Active NPI

Lechana Saint Surin

  • Mental Health Counselor
  • Danvers, MA
National Provider Identifier
1255916847
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
125 Liberty St Ste 2
Danvers, MA 01923-3325
Phone
(978) 750-6828
Fax
(978) 750-6684
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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 Primary

Addresses

Primary practice location

125 Liberty St Ste 2
Danvers, MA 01923-3325

Mailing address

125 Liberty St Ste 2
Danvers, MA 01923-3325
Phone (978) 750-6828

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
I20250407001438 MA Practitioner - Clinical Social Worker 6507380029 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melrosewakefield Healthcare, Inc. CurrentSince Jan 26, 2025 Accepting new patients
Bridgewell, Inc CurrentSince Mar 21, 2021 Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Hallmark Health System Inc Mental Health CurrentSince Jan 26, 2025 Accepting new patients

Locations

125 Liberty St
Ste 2
Danvers, MA 01923
Phone (978) 750-6820

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1255916847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 2",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233325",
            "telephone_number": "978-750-6828",
            "fax_number": "978-750-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 2",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233325",
            "telephone_number": "978-750-6828",
            "fax_number": "978-750-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT SURIN",
        "first_name": "LECHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.