Individual provider Active NPI

Julie Stern, LICSW

  • Counselor
  • Boston, MA
National Provider Identifier
1417506858
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
857 Boylston St # 243
Boston, MA 02116-2601
Phone
(617) 299-0538
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

857 Boylston St # 243
Boston, MA 02116-2601

Mailing address

857 Boylston St # 243
Boston, MA 02116-2601
Phone (617) 299-0538

Other practice location 1

301 Broadway
Chelsea, MA 02150-2807
Phone (617) 889-4860

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

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1417506858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 BOYLSTON ST # 243",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162601",
            "telephone_number": "617-299-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 BOYLSTON ST # 243",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162601",
            "telephone_number": "617-299-0538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Broadway",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MA",
            "postal_code": "021502807",
            "country_code": "US",
            "telephone_number": "617-889-4860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "JULIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 14, 2022; 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.