Active NPI
Robert Louzan, LMHC
- Mental Health Counselor
- Pembroke, MA
National Provider Identifier
1710906151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LM0234
- Practice address
- 2 Columbia Rd
Suite #8
Pembroke, MA 02359-1842 - Phone
- (781) 826-7940
- Fax
- (781) 826-7940
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | LM0234 | MA | Primary |
Addresses
Primary practice location
2 Columbia Rd
Suite #8
Pembroke, MA 02359-1842
Mailing address
226 Lake Shore Dr
E Falmouth, MA 02536-4711
Phone (508) 274-2587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LM0234 | Other | MA | INSURANCE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 22, 2025 through Jan 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM0234 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710906151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 LAKE SHORE DR",
"city": "E FALMOUTH",
"state": "MA",
"postal_code": "025364711",
"telephone_number": "508-274-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COLUMBIA RD",
"address_2": "SUITE #8",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023591842",
"telephone_number": "781-826-7940",
"fax_number": "781-826-7940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUZAN",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LM0234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE PROVIDER NUMBER",
"identifier": "LM0234",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.