NPIMap

Individual provider Active NPI

Denise M Deforrest Oujaimi, LCSW

  • Mental Health Counselor
  • Lowell, MA
National Provider Identifier
1679767347
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2028845 Issued in MA
Practice address
25 Central St
Lowell, MA 01852-1905
Phone
(978) 452-9229
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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 2028845 MA Primary

Addresses

Primary practice location

25 Central St
Lowell, MA 01852-1905

Mailing address

54 Bush Hill Rd
Pelham, NH 03076-3000
Phone (978) 452-9229

Other names 1

  • Mrs. Denise M Deforrest Former name

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

LicenseStateTypeSpecialty
2028845MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Valley Treatment Center Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1679767347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BUSH HILL RD",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030763000",
            "telephone_number": "978-452-9229",
            "fax_number": "978-452-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CENTRAL ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521905",
            "telephone_number": "978-452-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFORREST OUJAIMI",
        "first_name": "DENISE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "2028845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "DEFORREST",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.