Individual provider Active NPI

Haeden Peaslee, LMHC #11069

  • Mental Health Counselor
  • Lowell, MA
National Provider Identifier
1306224720
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
130 Western Ave
Lowell, MA 01851-1434
Phone
(617) 294-9674
Fax
(857) 362-1603
NPI assigned
May 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

130 Western Ave
Lowell, MA 01851-1434

Mailing address

PO Box 42
North Billerica, MA 01862-0042
Phone (617) 294-9674

Other practice location 1

100 Cambridge St Fl 14
Boston, MA 02114-2509
Phone (646) 453-6777

Other identifiers 1

IdentifierTypeStateIssuer
11069OtherMALMHC BOARD

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

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1306224720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018620042",
            "telephone_number": "617-294-9674",
            "fax_number": "857-362-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WESTERN AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511434",
            "telephone_number": "617-294-9674",
            "fax_number": "857-362-1603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cambridge St Fl 14",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142509",
            "country_code": "US",
            "telephone_number": "646-453-6777",
            "fax_number": "833-900-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEASLEE",
        "first_name": "HAEDEN",
        "credential": "LMHC #11069",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC BOARD",
            "identifier": "11069",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.