Active NPI
Courtney Gurska
- Mental Health Counselor
- Roslindale, MA
National Provider Identifier
1417582578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LICSW127684
- Practice address
- 780 American Legion Hwy
Roslindale, MA 02131-3908 - Phone
- (617) 239-5840
- NPI assigned
- Mar 10, 2020
- Last updated
- Feb 13, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LICSW127684 | MA | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
780 American Legion Hwy
Roslindale, MA 02131-3908
Mailing address
78 Edge Hill Rd
Braintree, MA 02184-4410
Phone (817) 241-7777
Other practice location 1
132 Robbs Hill Rd
Lunenburg, MA 01462-2167
Phone (781) 241-7777
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW127684 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Autism Connections, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Lunenburg, MA
- NPI 1417468364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1417582578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 EDGE HILL RD",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021844410",
"telephone_number": "817-241-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 AMERICAN LEGION HWY",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021313908",
"telephone_number": "617-239-5840"
}
],
"practiceLocations": [
{
"address_1": "132 Robbs Hill Rd",
"address_purpose": "LOCATION",
"city": "Lunenburg",
"state": "MA",
"postal_code": "014622167",
"country_code": "US",
"telephone_number": "781-241-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GURSKA",
"first_name": "COURTNEY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-10",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LICSW127684",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.