Active NPI
Noelle Gayane Lepore, LMFT
- Marriage & Family Therapist
- Worcester, MA
National Provider Identifier
1962849265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1522MF
- Practice address
- 484 Main St
Ste. 560
Worcester, MA 01608-1893 - Phone
- (508) 316-9567
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1522MF | MA | Primary |
Addresses
Primary practice location
484 Main St
Ste. 560
Worcester, MA 01608-1893
Mailing address
81 Plantation St
Ste. 560
Worcester, MA 01604-3069
Phone (508) 316-9567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1522MF | Other | MA | BOARD OF ALLIED MENTAL HEALTH PROFESSIONAL LICENSURE |
Other names 1
- Noelle Gayane Zeytoonian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1522MF | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1962849265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 PLANTATION ST",
"address_2": "STE. 560",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016043069",
"telephone_number": "508-316-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 MAIN ST",
"address_2": "STE. 560",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081893",
"telephone_number": "508-316-9567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPORE",
"first_name": "NOELLE",
"middle_name": "GAYANE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "1522MF",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF ALLIED MENTAL HEALTH PROFESSIONAL LICENSURE",
"identifier": "1522MF",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NOELLE",
"last_name": "ZEYTOONIAN",
"middle_name": "GAYANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.