NPIMap

Organization Active NPI

Northeast Senior Options LLC

  • Mental Health Counselor
  • Peabody, MA
National Provider Identifier
1285921379
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
113550 Issued in MA
Legal business name
NORTHEAST SENIOR OPTIONS LLC
Practice address
1R Newbury St Ste 205
Peabody, MA 01960-3816
Phone
(978) 535-1606
Fax
(978) 535-2550
NPI assigned
Jul 8, 2011
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Kevin James Carty, LICSWNPI 1982709358
Title
Owner, Director
Phone
(978) 535-1606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 113550 MA Primary

Addresses

Primary practice location

1R Newbury St Ste 205
Peabody, MA 01960-3816

Mailing address

1R Newbury St Ste 205
Peabody, MA 01960-3816
Phone (978) 535-1606

National Provider Directory

National Provider Directory

Locations

1R Newbury St
Ste 205
Peabody, MA 01960
Phone (978) 535-1606

1R Newbury St
Ste 403
Peabody, MA 01960
Phone (978) 530-4426

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1285921379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST STE 205",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603816",
            "telephone_number": "978-535-1606",
            "fax_number": "978-535-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST STE 205",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603816",
            "telephone_number": "978-535-1606",
            "fax_number": "978-535-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SENIOR OPTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "CARTY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "978-535-1606",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "113550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.