Renee Ann Maclean, LADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12221 Issued in MA

Practice address

82 Paris St FL 3
East Boston, MA 02128-3229

Phone

(617) 874-4160

NPI assigned

Aug 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Total Wellness Centers, LLC

  • Clinical Medical Laboratory
  • Holyoke, MA
  • NPI 1770020018
  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1487134706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PARIS ST FL 3",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021283229",
            "telephone_number": "617-874-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PARIS ST FL 3",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021283229",
            "telephone_number": "617-874-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAN",
        "first_name": "RENEE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "12221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Francis Lyons Jr., DDS
• Mary M Lyons, LICSW
• Lori Ann Mackay, MSW
• Mary Mackinnon
• Jessica Marie Maclean, MT-BC
• Jennifer Madrid
• Charles Maggio, O.D.
• Stylianos Maheras, MD
• Wai Ying Mak
• Erin Regan Malenick, RN, NP-C

• Addiction (Substance Use Disorder) Counselor in East Boston, MA
• Providers in East Boston, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.