Organization Active NPI

Your Sanctuary LLC

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1679837421
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6265 Issued in MA
Legal business name
YOUR SANCTUARY LLC
Practice address
100 Grove St
Suite 308
Worcester, MA 01605-2627
Phone
(508) 791-1151
Fax
(508) 753-9561
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Ms. Patricia Lemley, LMHC
Title
Owner
Phone
(508) 791-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6265 MA Primary

Addresses

Primary practice location

100 Grove St
Suite 308
Worcester, MA 01605-2627

Mailing address

100 Grove St
Suite 308
Worcester, MA 01605-2627
Phone (508) 791-1151

National Provider Directory

National Provider Directory

Locations

100 Grove St
Ste 308
Worcester, MA 01605
Phone (508) 791-1151

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1679837421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST",
            "address_2": "SUITE 308",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052627",
            "telephone_number": "508-791-1151",
            "fax_number": "508-753-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROVE ST",
            "address_2": "SUITE 308",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052627",
            "telephone_number": "508-791-1151",
            "fax_number": "508-753-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SANCTUARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "LEMLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-791-1151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.