NPIMap

Individual provider Active NPI

Sonya Gjura

  • Mental Health Counselor
  • Peabody, MA
National Provider Identifier
1790192714
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8920 Issued in MA
Practice address
1R Newbury St
Suite 205
Peabody, MA 01960-4065
Phone
(978) 535-1608
NPI assigned
Jul 22, 2014
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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 8920 MA Primary

Addresses

Primary practice location

1R Newbury St
Suite 205
Peabody, MA 01960-4065

Mailing address

1R Newbury St
Suite 205
Peabody, MA 01960-4065
Phone (978) 535-1608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8920MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Senior Options LLC Mental Health Past Accepting new patients
North Shore Clinicians Group LLC Mental Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1790192714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST",
            "address_2": "SUITE 205",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604065",
            "telephone_number": "978-535-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST",
            "address_2": "SUITE 205",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604065",
            "telephone_number": "978-535-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJURA",
        "first_name": "SONYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.