Active NPI
Lawrence D Keane, LADC 1 CADAC
- Addiction (Substance Use Disorder) Counselor
- Somerville, MA
National Provider Identifier
1477858231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 58
- Practice address
- 78 College Ave
Somerville, MA 02144-1916 - Phone
- (617) 623-6278
- NPI assigned
- Jan 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 58 | MA | Primary |
Addresses
Primary practice location
78 College Ave
Somerville, MA 02144-1916
Mailing address
108 Fairmont St
Arlington, MA 02474-8739
Phone (617) 694-2006
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 |
|---|---|---|---|
| 58 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1477858231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 FAIRMONT ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024748739",
"telephone_number": "617-694-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 COLLEGE AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441916",
"telephone_number": "617-623-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEANE",
"first_name": "LAWRENCE",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LADC 1 CADAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "58",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.