Madeline Jackson Lee

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

124 Watertown St Ste 3D
Watertown, MA 02472-2500

Phone

(617) 312-3755

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1417685405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST STE 3D",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722500",
            "telephone_number": "617-312-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST STE 3D",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722500",
            "telephone_number": "617-312-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MADELINE",
        "middle_name": "JACKSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlee@madleesupportingstudents.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "124 Watertown St Ste 3D",
            "city": "Watertown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024722500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ryan Lavoie
• Jancie Webb Lawrence, NP-C
• Margaret J Layo, APRN FNP-BC
• Leah'S Doula Support
• Lisa Leblanc, NP
• Marianne Y Lee, PHARMD
• Dina Iliana Leeman, OTR/L, MS, CBIS, LSV
• Natalie Leonid Lender, M.D.
• Giancarlo Leon
• Eliza Leone, RD

• Mental Health Counselor in Watertown, MA
• Providers in Watertown, 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 Aug 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.