The Dunham Group LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6788 Issued in MA

Legal business name

THE DUNHAM GROUP LLC

Practice address

63 Park St
17A
Andover, MA 01810-3662

Phone

(617) 212-8428

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

Tara Dunham, LMHC

Title

LMHC

Phone

(617) 212-8428

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1396296380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PARK ST",
            "address_2": "17A",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103662",
            "telephone_number": "617-212-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PARK ST",
            "address_2": "17A",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103662",
            "telephone_number": "617-212-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DUNHAM GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "617-212-8428",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Andover, MA
• Providers in Andover, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.