Active NPI
Christina Desantis, LCSW
- Mental Health Counselor
- Lawrence, MA
National Provider Identifier
1346540648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 217686
- Practice address
- 15 Union St
Lawrence, MA 01840-1866 - Phone
- (978) 688-4830
- NPI assigned
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 217686 | MA | Primary |
Addresses
Primary practice location
15 Union St
Lawrence, MA 01840-1866
Mailing address
15 Union St
Lawrence, MA 01840-1866
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217686 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1346540648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 UNION ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 UNION ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401866",
"telephone_number": "978-688-4830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESANTIS",
"first_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "217686",
"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 Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.