Individual provider Active NPI

Michael Glen Laster, LPC

  • Mental Health Counselor
  • Plymouth, MA
National Provider Identifier
1528404654
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10004583 Issued in MA
Practice address
32 Court St Ste 7
Plymouth, MA 02360-8733
Phone
(781) 287-8676
Fax
(800) 593-2560
NPI assigned
May 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 10004583 MA Primary

Addresses

Primary practice location

32 Court St Ste 7
Plymouth, MA 02360-8733

Mailing address

1430 Collier St
Austin, TX 78704-2911
Phone (512) 445-7787

Other practice location 1

50 Main St Ste 201
North Reading, MA 01864-2281
Phone (781) 287-8676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240212002822 TX Practitioner - Mental Health Counselor 0840633301 Reassigns benefits to 1 organization
I20260520003815 MA Practitioner - Mental Health Counselor 0840633301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boodah, IncGroup PAC ID 8224361332, 3 clinicians

Practice addresses (Care Compare)

32 Court St
Suite 7
Plymouth, MA 02360-8733
Phone (774) 426-7707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10004583MAMDMental Health Counselor
60323TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Jan 1, 2024 Accepting new patients
Boodah, Inc Mental Health CurrentSince May 1, 2019 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

50 Main St
Ste 201
North Reading, MA 01864
Phone (781) 287-8676

32 Court St
Ste 7
Plymouth, MA 02360
Phone (774) 426-7707

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

56 East Ave
Austin, TX 78701
Phone (512) 703-1365

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1528404654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911",
            "telephone_number": "512-445-7787",
            "fax_number": "512-440-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COURT ST STE 7",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608733",
            "telephone_number": "781-287-8676",
            "fax_number": "800-593-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "North Reading",
            "state": "MA",
            "postal_code": "018642281",
            "country_code": "US",
            "telephone_number": "781-287-8676",
            "fax_number": "800-593-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASTER",
        "first_name": "MICHAEL",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10004583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.