Anne Spengler Deboalt, LMHC,CCMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

#83LMHC Issued in MA

Practice address

79 Shaker Road
Harvard, MA 04151

Phone

(978) 772-3968

Fax

(978) 371-2597

NPI assigned

Jan 6, 2009

Last updated

May 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1912143447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SHAKER ROAD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "01451",
            "telephone_number": "978-772-3968",
            "fax_number": "978-371-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SHAKER ROAD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "04151",
            "telephone_number": "978-772-3968",
            "fax_number": "978-371-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOALT",
        "first_name": "ANNE",
        "middle_name": "SPENGLER",
        "name_prefix": "Ms.",
        "credential": "LMHC,CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "#83LMHC",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "83-CC",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "#83#32529",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCC, CCMHC",
            "identifier": "32529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Harvard, MA
• Providers in Harvard, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.