Active NPI
Streettherapy,LLC
- Mental Health Counselor
- Lexington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- STREETTHERAPY,LLC
- Practice address
- Triad Adolescent Services
363 Mass. Ave., Suite204
Lexington, MA 02421 - Phone
- (617) 855-2742
- NPI assigned
- Nov 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Nelle Street, LMHC
- Title
- Therapist
- Phone
- (617) 855-2742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
Triad Adolescent Services
363 Mass. Ave., Suite204
Lexington, MA 02421
Mailing address
96 Warren St
Medford, MA 02155-2235
Phone (617) 855-2742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376752345 | Other | MA | MCLEAN HOSPITAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lstreet@partners.org | Direct |
National Provider Directory
National Provider DirectoryLocations
1666 Massachusetts Ave
Ste 3
Lexington, MA 02420
Phone (781) 799-8169
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.
-
- Mental Health Counselor
- Belmont, MA
- NPI 1376752345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574208000000",
"number": "1972149300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 WARREN ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021552235",
"telephone_number": "617-855-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TRIAD ADOLESCENT SERVICES",
"address_2": "363 MASS. AVE., SUITE204",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "02421",
"telephone_number": "617-855-2742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STREETTHERAPY,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A",
"authorized_official_last_name": "STREET",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "NELLE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "617-855-2742",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLEAN HOSPITAL",
"identifier": "1376752345",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lstreet@partners.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Triad Adolescent Services",
"address_2": "363 Mass. Ave., Suite204",
"city": "Lexington",
"state": "MA",
"country_code": "US",
"postal_code": "02421",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.