Individual provider Active NPI

Vanessa Layne, M.ED., LMHC

  • Mental Health Counselor
  • Somerville, MA
National Provider Identifier
1871754580
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7956 Issued in MA
Practice address
61 Roseland St
Ste 10
Somerville, MA 02143-3524
Phone
(617) 299-1611
Fax
(617) 876-0192
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 7956 MA Primary

Addresses

Primary practice location

61 Roseland St
Ste 10
Somerville, MA 02143-3524

Mailing address

1770 Massachusetts Ave
Suite 135
Cambridge, MA 02140-2808
Phone (617) 299-1611

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
7956MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1871754580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 MASSACHUSETTS AVE",
            "address_2": "SUITE 135",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402808",
            "telephone_number": "617-299-1611",
            "fax_number": "617-876-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ROSELAND ST",
            "address_2": "STE 10",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433524",
            "telephone_number": "617-299-1611",
            "fax_number": "617-876-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "VANESSA",
        "name_prefix": "Ms.",
        "credential": "M.ED., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.