Active NPI
Baylee Fairhurst
- Mental Health Counselor
- Concord, MA
National Provider Identifier
1396218384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 86 Baker Avenue Ext Ste 100
Concord, MA 01742-2132 - Phone
- (978) 369-1113
- NPI assigned
- Jan 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
86 Baker Avenue Ext Ste 100
Concord, MA 01742-2132
Mailing address
21 Craigie St # 3
Somerville, MA 02143-2401
Phone (203) 592-9091
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 |
|---|---|---|---|---|
| I20250115001407 | MA | Practitioner - Mental Health Counselor | 7012445232 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Eliot Community Human Services
Practice addresses (Care Compare)
86 Baker Ave Ext
Suite 100
Concord, MA 01742-2132
Phone (978) 369-1113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eliot Community Human Services | Current | Accepting new patients | |
| Eliot Community Human Services | Current | Accepting new patients |
Locations
86 Baker Avenue Ext
Ste 100
Concord, MA 01742
Phone (978) 202-4156
125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord, MA
- NPI 1679648182
MA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lexington, MA
- NPI 1932271632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1396218384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CRAIGIE ST # 3",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021432401",
"telephone_number": "203-592-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 BAKER AVENUE EXT STE 100",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422132",
"telephone_number": "978-369-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRHURST",
"first_name": "BAYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2022-08-24",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.