Active NPI
Lisline Maddox
- Counselor
- Dedham, MA
National Provider Identifier
1639545593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 20 Eastbrook Rd
Dedham, MA 02026-2075 - Phone
- (781) 302-4600
- NPI assigned
- Aug 14, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
20 Eastbrook Rd
Dedham, MA 02026-2075
Mailing address
19 Hearthstone Rd
South Easton, MA 02375-1350
Phone (508) 369-2412
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1639545593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HEARTHSTONE RD",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751350",
"telephone_number": "508-369-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 EASTBROOK RD",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020262075",
"telephone_number": "781-302-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "LISLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.