Lavender Moon Counseling and Healing

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LAVENDER MOON COUNSELING AND HEALING

Practice address

4-6 Water Street
Amesbury, MA 01913-2736

Phone

(978) 712-9698

Fax

(978) 373-0026

NPI assigned

Sep 7, 2022

Last updated

Sep 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaitlin Ann Burke, LICSWNPI 1366501173

Title

Owner

Phone

(978) 712-9698

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaitlin Ann Burke

  • Mental Health Counselor
  • Salem, MA
  • NPI 1366501173
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1699496687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-6 WATER STREET",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "01913",
            "telephone_number": "978-712-9698",
            "fax_number": "978-373-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-6 WATER STREET",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132736",
            "telephone_number": "978-712-9698",
            "fax_number": "978-373-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER MOON COUNSELING AND HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-712-9698",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366501173",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lakin
• Margaret E Larson
• Meredith Laudislo
• Phyllis Lauria, LICSW
• Jarod Raymond Lavarnway, PTA
• Jean E Lavin
• Brooke Lear, O.T.
• Sheri J Lefman
• Legacy Physical Therapy LLC
• Dawn Allison Leonard, RN, BSN

• Clinical Social Worker in Amesbury, MA
• Providers in Amesbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.