NPIMap

Organization Active NPI

Elly Humphrey LMHC LLC

  • Community/Behavioral Health Agency
  • Somerville, MA
National Provider Identifier
1639828445
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELLY HUMPHREY LMHC LLC
Practice address
17 Lowden Ave Apt 1
Somerville, MA 02144-2158
Phone
(508) 340-7828
NPI assigned
Mar 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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

Authorized official

Name
Elysia HumphreyNPI 1700294956
Title
Owner
Phone
(508) 340-7828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

17 Lowden Ave Apt 1
Somerville, MA 02144-2158

Mailing address

17 Lowden Ave Apt 1
Somerville, MA 02144-2158
Phone (508) 340-7828

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647734400000",
    "number": "1639828445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LOWDEN AVE APT 1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442158",
            "telephone_number": "508-340-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LOWDEN AVE APT 1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442158",
            "telephone_number": "508-340-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLY HUMPHREY LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "ELYSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-340-7828"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.