Active NPI
Laura Hurley
- Mental Health Counselor
- Woburn, MA
National Provider Identifier
1578747226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 211986
- Practice address
- 500 W Cummings Park
Woburn, MA 01801-6503 - Phone
- (781) 932-8114
- NPI assigned
- Dec 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 211986 | MA | Primary |
Addresses
Primary practice location
500 W Cummings Park
Woburn, MA 01801-6503
Mailing address
18 Mill Rd
Wilmington, MA 01887-3316
Phone (617) 416-4438
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 |
|---|---|---|---|
| 211986 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1578747226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MILL RD",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018873316",
"telephone_number": "617-416-4438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W CUMMINGS PARK",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016503",
"telephone_number": "781-932-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "211986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.