Individual provider Active NPI

Amelia Nicole Hasbun, LMFT

  • Marriage & Family Therapist
  • Boston, MA
National Provider Identifier
1396110409
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT1830 Issued in MA
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

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.