Layne Jennifer Patry, NCC, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

17 Innerbelt Rd
Somerville, MA 02143-4418

Phone

(617) 629-6790

NPI assigned

Jun 11, 2021

Last updated

Sep 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1942878541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 INNERBELT RD",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434418",
            "telephone_number": "617-629-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 INNERBELT RD",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434418",
            "telephone_number": "617-629-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Boston Ave Ste 1925",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "021554243",
            "country_code": "US",
            "telephone_number": "617-533-0416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRY",
        "first_name": "LAYNE",
        "middle_name": "JENNIFER",
        "credential": "NCC, M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagdish Patel
• Khushbu Patel
• Roopali M Patel
• Patriach Group LLC (Metro Boston Home Care)
• Angela Patric
• Susan Perlmutter Pauker, MD
• Paul K Shick DMD PC (Somerville Dental Associates)
• Marie N Paul
• Kathleen S Paye, LCSW
• Michael Clarence Payne, M.D., M.P.H.

• Mental Health Counselor in Somerville, MA
• Providers in Somerville, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.