NPIMap

Organization Active NPI

A New Lens Consultant & Life Coaching Services

  • Counselor
  • Medford, MA
National Provider Identifier
1417520370
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
A NEW LENS CONSULTANT & LIFE COACHING SERVICES
Doing business as
A New Lens Consultant & Life Coaching Services
Practice address
4 Exchange Ave
Medford, MA 02155-6309
Phone
(781) 866-3191
NPI assigned
Jul 20, 2021
Last updated
Dec 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Claudel Chevry, MSW AND LIFE COACHNPI 1588161707
Title
Ceo & President
Phone
(781) 866-3191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

4 Exchange Ave
Medford, MA 02155-6309

Mailing address

4 Exchange Ave
Medford, MA 02155-6309
Phone (781) 763-7724

Other identifiers 1

IdentifierTypeStateIssuer
1588161707MedicaidMA

Other names 1

  • A New Lens Consultant & Life Coaching Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1417520370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EXCHANGE AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556309",
            "telephone_number": "781-763-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXCHANGE AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556309",
            "telephone_number": "781-866-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW LENS CONSULTANT & LIFE COACHING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "CHEVRY",
        "authorized_official_first_name": "CLAUDEL",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "781-866-3191",
        "authorized_official_credential": "MSW AND LIFE COACH"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588161707",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Lens Consultant & Life Coaching Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A New Lens Consultant & Life Coaching Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.