Leah Krauss Barison, LMHC, LADC-I

Key facts

NPI

1891015186

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

8510 (MA)

Practice address

268 Newbury St
Boston, MA 02116-2424

Phone

(617) 383-7220

NPI assigned

Jun 9, 2010

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2015.

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1891015186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162424",
            "telephone_number": "617-383-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162424",
            "telephone_number": "617-383-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARISON",
        "first_name": "LEAH",
        "middle_name": "KRAUSS",
        "credential": "LMHC, LADC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8510",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "12300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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