Individual provider Active NPI

Laurie Pierre Jacques

  • Behavior Technician
  • Holyoke, MA
National Provider Identifier
1861025959
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
S48854423 Issued in MA
Practice address
262 Westfield Rd
Holyoke, MA 01040-1662
Phone
(860) 202-7374
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X S48854423 MA Primary

Addresses

Primary practice location

262 Westfield Rd
Holyoke, MA 01040-1662

Mailing address

164 Harkness Ave
Springfield, MA 01118-2270
Phone (413) 309-3376

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LJacques@autismlearningpartners.com Direct

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
S48854423MAMDBehavior Technician

Interoperability endpoints

  • Direct secure messaging: ljacques@autismlearningpartners.com

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1861025959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 HARKNESS AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182270",
            "telephone_number": "413-309-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 WESTFIELD RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401662",
            "telephone_number": "860-202-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE JACQUES",
        "first_name": "LAURIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": "S48854423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LJacques@autismlearningpartners.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "262 Westfield Rd",
            "city": "Holyoke",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010401662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.