Individual provider Active NPI

Lisa Carabuena Kauder, L.M.H.C.

  • Mental Health Counselor
  • Medford, MA
National Provider Identifier
1871803494
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7198 Issued in MA
Practice address
92 High St Ste DH7
Medford, MA 02155-3838
Phone
(857) 998-8059
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 7198 MA Primary

Addresses

Primary practice location

92 High St Ste DH7
Medford, MA 02155-3838

Mailing address

92 High St Ste DH7
Medford, MA 02155-3838
Phone (857) 998-8059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 25, 2025 through Apr 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7198MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1871803494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HIGH ST STE DH7",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553838",
            "telephone_number": "857-998-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGH ST STE DH7",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553838",
            "telephone_number": "857-998-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUDER",
        "first_name": "LISA",
        "middle_name": "CARABUENA",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.