Active NPI
Geraldo Pagan, LMHC-GC-C
- Mental Health Counselor
- Lawrence, MA
National Provider Identifier
1346540309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9504
- Practice address
- 15 Union St
Ste. 404
Lawrence, MA 01840-1866 - Phone
- (978) 476-9016
- NPI assigned
- Oct 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 9504 | MA | Primary |
Addresses
Primary practice location
15 Union St
Ste. 404
Lawrence, MA 01840-1866
Mailing address
160 Winthrop Ave Unit 11
Lawrence, MA 01843-3840
Phone (978) 476-9016
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240308002889 | MA | Practitioner - Mental Health Counselor | 1153699525 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
160 Winthrop Ave
Unit 11
Lawrence, MA 01843-3840
Phone (978) 476-9016
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diverse Understanding Mental Health Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
160 Winthrop Ave
Unit 11
Lawrence, MA 01843
Phone (978) 476-9016
15 Union St
Ste 404
Lawrence, MA 01840
Phone (978) 476-9016
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Lawrence, MA
- NPI 1952765463
MA, Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1346540309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WINTHROP AVE UNIT 11",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018433840",
"telephone_number": "978-476-9016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 UNION ST",
"address_2": "STE. 404",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401866",
"telephone_number": "978-476-9016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN",
"first_name": "GERALDO",
"name_prefix": "Mr.",
"credential": "LMHC-GC-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-25",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.