North Shore Collaborative Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTH SHORE COLLABORATIVE COUNSELING, LLC

Practice address

300 Newburyport Tpke Ste 8
Rowley, MA 01969-2012

Phone

(978) 204-4179

NPI assigned

Dec 30, 2019

Last updated

Dec 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauryn Blandford, LMHC

Title

Owner

Phone

(978) 204-4179

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1376182048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WETHERSFIELD ST",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691715",
            "telephone_number": "978-204-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEWBURYPORT TPKE STE 8",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692012",
            "telephone_number": "978-204-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE COLLABORATIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "BLANDFORD",
        "authorized_official_first_name": "LAURYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-204-4179",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.