Organization Active NPI

Diverse Understanding Mental Health Counseling LLC

  • Mental Health Counselor
  • Lawrence, MA
National Provider Identifier
1952765463
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9504 Issued in MA
Legal business name
DIVERSE UNDERSTANDING MENTAL HEALTH COUNSELING LLC
Practice address
160 Winthrop Ave Unit 11
Lawrence, MA 01843-3840
Phone
(978) 476-9016
NPI assigned
Apr 11, 2016
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Mr. Geraldo Pagan Jr., LMHCNPI 1346540309
Title
Managing Member
Phone
(978) 476-9016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 9504 MA Primary

Addresses

Primary practice location

160 Winthrop Ave Unit 11
Lawrence, MA 01843-3840

Mailing address

95 Harrison St
Haverhill, MA 01830-4807
Phone (978) 476-9016

Other identifiers 1

IdentifierTypeStateIssuer
001207271OtherMASECRETARY OF THE COMMONWEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170608001052 MA Part B Supplier - Clinic/Group Practice 3971871336 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, MA

National Provider Directory

National Provider Directory

Locations

15 Union St
Ste 404
Lawrence, MA 01840
Phone (978) 476-9016

160 Winthrop Ave
Unit 11
Lawrence, MA 01843
Phone (978) 476-9016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1952765463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 HARRISON ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018304807",
            "telephone_number": "978-476-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WINTHROP AVE UNIT 11",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018433840",
            "telephone_number": "978-476-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE UNDERSTANDING MENTAL HEALTH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "GERALDO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "978-476-9016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF THE COMMONWEALTH",
            "identifier": "001207271",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.