Individual provider Active NPI

Yakira Nunez

  • Mental Health Counselor
  • Lawrence, MA
National Provider Identifier
1609157585
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10126 Issued in MA
Practice address
360 Merrimack St
Building 9 3Rd Floor
Lawrence, MA 01843-1740
Phone
(978) 687-1617
NPI assigned
Sep 6, 2011
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10126 MA Primary

Addresses

Primary practice location

360 Merrimack St
Building 9 3Rd Floor
Lawrence, MA 01843-1740

Mailing address

15 Custer St
Lawrence, MA 01841-1906
Phone (978) 482-7189

Other practice location 1

100 Cummings Ctr Ste 451C
Beverly, MA 01915-6132
Phone (800) 225-0634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240201002636 MA Practitioner - Mental Health Counselor 8426401811 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10126MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Feb 1, 2025 Accepting new patients
Eliot Community Human Services Current Accepting new patients
Total Metamorphosis LLC Mental Health CurrentSince Jun 6, 2021 Accepting new patients
Eliot Community Human Services CurrentSince Jan 1, 2024 Accepting new patients
Blank Canvas Therapy PLLC Mental Health PastSince Dec 6, 2022 Accepting new patients

Locations

173 Chelsea St
Everett, MA 02149
Phone (617) 397-2020

280 Merrimack St
Ste 141
Lawrence, MA 01843
Phone (508) 901-2044

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

67 Forest St
Ste 270
Marlborough, MA 01752
Phone (978) 795-4995

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1609157585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CUSTER ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018411906",
            "telephone_number": "978-482-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BUILDING 9 3RD FLOOR",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-687-1617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cummings Ctr Ste 451C",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156132",
            "country_code": "US",
            "telephone_number": "800-225-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "YAKIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.