Jude Thaddeo Kafuuma, M.ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

15 Union St Ste 204
Lawrence, MA 01840-1823

Phone

(978) 655-7782

NPI assigned

Aug 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Alliance Lifetime Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Andover, MA
  • NPI 1568196830
  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740699032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 UNION ST STE 204",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401823",
            "telephone_number": "978-655-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 UNION ST STE 204",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401823",
            "telephone_number": "978-655-7782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Waltham St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024218033",
            "country_code": "US",
            "telephone_number": "781-761-5078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Union St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018401823",
            "country_code": "US",
            "telephone_number": "978-655-7782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAFUUMA",
        "first_name": "JUDE",
        "middle_name": "THADDEO",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "0000023532",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1004745",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "042611055",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "99618201",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18633",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1303287",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1004745",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303287",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J Jun, D.M.D
• Aleta Juozelskis
• K & C Transportation Inc
• Ireneusz Kaczmarczyk
• Louis Philip Kaczmarek, PTA
• Jennifer L Kahn, M.D.
• Megan Eugenia Matthews Kalter, PHARMD
• Greta Marie Kaminski, B.A.
• Virginie Kasiama Kamuene, IHT/BA ICC, FP
• Victoria Ellen Kando, MA

• Mental Health Counselor in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.