Individual provider Active NPI

Likhet Autumn Or

  • Counselor
  • Boston, MA
National Provider Identifier
1376301176
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
13543758 Issued in RI
Practice address
270 Huntington Ave Apt 401
Boston, MA 02115-4615
Phone
(617) 266-7040
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 13543758 RI Primary

Addresses

Primary practice location

270 Huntington Ave Apt 401
Boston, MA 02115-4615

Mailing address

270 Huntington Ave Apt 401
Boston, MA 02115-4615
Phone (617) 266-7040

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

State licenses

LicenseStateTypeSpecialty
13543758RIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute, Inc PastSince Mar 12, 2024 Accepting new patients
Justice Resource Institute, Inc PastSince Mar 12, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1376301176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HUNTINGTON AVE APT 401",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021154615",
            "telephone_number": "617-266-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HUNTINGTON AVE APT 401",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021154615",
            "telephone_number": "617-266-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OR",
        "first_name": "LIKHET",
        "middle_name": "AUTUMN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "RI",
            "license": "13543758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.