Individual provider Active NPI

Lori Miller-Freitas, LICSW

  • Mental Health Counselor
  • Stoughton, MA
National Provider Identifier
1477612208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1028275 Issued in MA
Practice address
294 Pleasant St
Suite 103B
Stoughton, MA 02072-2571
Phone
(781) 297-2003
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1028275 MA Primary

Addresses

Primary practice location

294 Pleasant St
Suite 103B
Stoughton, MA 02072-2571

Mailing address

294 Pleasant St
Suite 103B
Stoughton, MA 02072-2571
Phone (781) 297-2003

Other identifiers 1

IdentifierTypeStateIssuer
MIP07373OtherMABLUE CROSS& BLUE SHIELD

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477612208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 PLEASANT ST",
            "address_2": "SUITE 103B",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722571",
            "telephone_number": "781-297-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 PLEASANT ST",
            "address_2": "SUITE 103B",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722571",
            "telephone_number": "781-297-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-FREITAS",
        "first_name": "LORI",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1028275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS& BLUE SHIELD",
            "identifier": "MIP07373",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.