Active NPI
Heather Thornburg, LMHC
- Professional Counselor
- Boston, MA
National Provider Identifier
1548511769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LMHC10000764
- Practice address
- 874 Beacon St
Boston, MA 02215-3101 - Phone
- (857) 288-8118
- NPI assigned
- Sep 27, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LMHC10000764 | MA | Primary |
Addresses
Primary practice location
874 Beacon St
Boston, MA 02215-3101
Mailing address
874 Beacon St
Boston, MA 02215-3101
Phone (857) 288-8118
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 |
|---|---|---|---|
| LMHC10000764 | MA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1548511769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 BEACON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153101",
"telephone_number": "857-288-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 BEACON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153101",
"telephone_number": "857-288-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNBURG",
"first_name": "HEATHER",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "LMHC10000764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.