Individual provider Active NPI

Shalanda Duperrier, LMHC

  • Mental Health Counselor
  • Lynn, MA
National Provider Identifier
1982202214
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
181 Union St # J
Lynn, MA 01901-1311
Phone
(781) 244-1950
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

181 Union St # J
Lynn, MA 01901-1311

Mailing address

800 Lexington St # 1017
Waltham, MA 02452-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805000101 MA Practitioner - Mental Health Counselor 1254878507 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lumin Health PGGroup PAC ID 3678950649, 13 clinicians

Practice addresses (Care Compare)

10 Langley Rd
Suite 200
Newton, MA 02459-1972
Phone (617) 863-8810

8 Harrington Ave
Revere, MA 02151-1731
Phone (617) 465-3020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 13, 2024 Accepting new patients
Higher Self Therapy PLLC CurrentSince Jan 12, 2026 Accepting new patients
Lumin Health PG CurrentSince Jul 18, 2024 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

53 Langley Rd
Ste 250
Newton Center, MA 02459
Phone (617) 863-8810

10 Langley Rd
Ste 200
Newton Centre, MA 02459
Phone (617) 863-8810

800 Lexington St
#1017
Waltham, MA 02452

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1982202214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LEXINGTON ST # 1017",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024524848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 UNION ST # J",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011311",
            "telephone_number": "781-244-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPERRIER",
        "first_name": "SHALANDA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.