Individual provider Active NPI

Kristen Lourens, LMHC

  • Mental Health Counselor
  • Roxbury, MA
National Provider Identifier
1699322313
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11400 Issued in MA
Practice address
64B Regent St
Roxbury, MA 02119-1980
Phone
(617) 861-4950
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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 11400 MA Primary

Addresses

Primary practice location

64B Regent St
Roxbury, MA 02119-1980

Mailing address

83 Withington Rd
Newton, MA 02460-2037
Phone (860) 899-0969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240212002043 MA Practitioner - Mental Health Counselor 1850734385 Reassigns benefits to 1 organization
I20250123000671 RI Practitioner - Mental Health Counselor 1850734385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tmin Services IncGroup PAC ID 0840657862, 42 clinicians

Practice addresses (Care Compare)

800 District Ave
Suite 520
Burlington, MA 01803-5060
Phone (781) 338-7350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11400MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tmin Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Virginia Oak Counseling, LLC CurrentSince Jan 1, 2025 Accepting new patients
Two Rivers Counseling LLC PastSince Jul 1, 2025 Accepting new patients

Locations

800 District Ave
Ste 520
Burlington, MA 01803
Phone (781) 338-7350

2984 E Main Rd
Portsmouth, RI 02871
Phone (703) 493-0467

312 E Market St
Ste F
Leesburg, VA 20176
Phone (304) 725-7176

Organizations & group practices 3

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1699322313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 WITHINGTON RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024602037",
            "telephone_number": "860-899-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64B REGENT ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191980",
            "telephone_number": "617-861-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOURENS",
        "first_name": "KRISTEN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

Verify at the official NPI Registry.