Active NPI
Amelia Nicole Hasbun, LMFT
- Marriage & Family Therapist
- Boston, MA
National Provider Identifier
1396110409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT1830
- Practice address
- 1 Emerson PL # 3H
Boston, MA 02114-2252 - Phone
- (617) 397-3951
- NPI assigned
- Dec 1, 2015
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT1830 | MA | Primary |
Addresses
Primary practice location
1 Emerson PL # 3H
Boston, MA 02114-2252
Mailing address
272 Greenwood St Apt 1
Worcester, MA 01607-1837
Phone (774) 519-7980
Other practice location 1
130 Main St Ste 2F
Northborough, MA 01532-1985
Phone (508) 393-2731 ext. 508
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 |
|---|---|---|---|---|
| I20240131003159 | MA | Practitioner - Marriage and Family Therapist | 0446603906 | Practice locations: Worcester, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1396110409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 GREENWOOD ST APT 1",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016071837",
"telephone_number": "774-519-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EMERSON PL # 3H",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142252",
"telephone_number": "617-397-3951"
}
],
"practiceLocations": [
{
"address_1": "130 Main St Ste 2F",
"address_purpose": "LOCATION",
"city": "Northborough",
"state": "MA",
"postal_code": "015321985",
"country_code": "US",
"telephone_number": "508-393-2731 x508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASBUN",
"first_name": "AMELIA",
"middle_name": "NICOLE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "LMFT1830",
"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 Dec 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.