Northeast Counseling Associates, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

116999 Issued in MA

Legal business name

NORTHEAST COUNSELING ASSOCIATES, LLC

Practice address

39 Haverhill St
Methuen, MA 01844-4203

Phone

(978) 804-4068

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Scott D Wallace, MSW, LICSW

Title

Owner/Psychotherapist

Phone

(978) 804-4068

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Ann Brown, ARNP

  • Nurse Practitioner
  • Lowell, MA
  • NPI 1396739934
  NPD (past)

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1467990846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HAVERHILL ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444203",
            "telephone_number": "978-804-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HAVERHILL ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444203",
            "telephone_number": "978-804-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "978-804-4068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "116999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Nolin
• Norman F Rogers DDS PC
• Alyson Norman, LICSW
• Northeast Cardiovascular Associates, PLLC
• Northeast Consulting Interpreting LLC
• Northeast Medical Equipment Inc (Rotech)
• Northeast Nephrology & Internal Medicine, PC
• Northern Radiology Associates
• Christine Ntapalis-Kafasis, D.M.D.
• Radharani Nunez, MA ED

• Adult Mental Health Clinic/Center in Methuen, MA
• Providers in Methuen, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.