Individual provider Active NPI

Lucille H Whitehouse, LADC-I, CADC, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Chelsea, MA
National Provider Identifier
1457021933
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
20660 Issued in MA
Practice address
301 Broadway
Chelsea, MA 02150-2807
Phone
(617) 912-7900
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 000227240 MA
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 20660 MA Primary

Addresses

Primary practice location

301 Broadway
Chelsea, MA 02150-2807

Mailing address

408 Meridian St
East Boston, MA 02128-1314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625002089 MA Practitioner - Clinical Social Worker 4385156397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000227240MAMDSocial Worker
20660MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Psychological Services, PLLC Single Specialty Current Accepting new patients
North Suffolk Community Services Inc. Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Banyan Treatment Center Mass, LLC PastSince Dec 13, 2022 Accepting new patients

Locations

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

14 Porter St
East Boston, MA 02128
Phone (617) 569-3189

265 Beach St
Revere, MA 02151
Phone (781) 289-9331

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1457021933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MERIDIAN ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502807",
            "telephone_number": "617-912-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHOUSE",
        "first_name": "LUCILLE",
        "middle_name": "H",
        "credential": "LADC-I, CADC, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "000227240",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "20660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.