Active NPI
Jamie Mauritz James
- Mental Health Counselor
- Lawrence, MA
National Provider Identifier
1669090684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 15 Union St Ste 200
Lawrence, MA 01840-1823 - Phone
- (978) 447-0389
- NPI assigned
- Jul 7, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
15 Union St Ste 200
Lawrence, MA 01840-1823
Mailing address
110 Boston St
Salem, MA 01970-1402
Phone (978) 447-0389
Other names 1
- Jamie Mauritz Bougioukas
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": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1669090684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BOSTON ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019701402",
"telephone_number": "978-447-0389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 UNION ST STE 200",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401823",
"telephone_number": "978-447-0389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "JAMIE",
"middle_name": "MAURITZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "BOUGIOUKAS",
"middle_name": "MAURITZ",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.