Laura Cos
Individual provider Active NPI Counselor · Charlton, MA
NPI 1336674530 · NPPES record last updated Apr 27, 2024
Key facts
- NPI
- 1336674530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 12131 (MA)
- Practice address
- 90 H Foote Rd
Charlton, MA 01507-5253 - Phone
- (508) 656-0697
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12131 | MA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Serenity Counseling LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | 12131 | MA | Yes |
Addresses
Primary practice location
90 H Foote Rd
Charlton, MA 01507-5253
Mailing address
PO Box 400
East Brookfield, MA 01515-0400
Phone (508) 656-0697
Other providers in Charlton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.