Organization Active NPI

Streettherapy,LLC

  • Mental Health Counselor
  • Lexington, MA
National Provider Identifier
1972149300
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Laura Nelle Street, LMHCNPI 1376752345
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1376752345OtherMAMCLEAN HOSPITAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lstreet@partners.org Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.