Active NPI
Elizabeth Driscoll, LMFT
- Marriage & Family Therapist
- Lynn, MA
National Provider Identifier
1992233092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1909
- Practice address
- 11 New Ocean St Apt 5
Lynn, MA 01902-1306 - Phone
- (617) 629-6790
- NPI assigned
- Jun 1, 2017
- 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 | 1909 | MA | Primary |
Addresses
Primary practice location
11 New Ocean St Apt 5
Lynn, MA 01902-1306
Mailing address
11 New Ocean St Apt 5
Lynn, MA 01902-1306
Phone (617) 771-9737
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 |
|---|---|---|---|
| 1909 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1992233092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 NEW OCEAN ST APT 5",
"city": "LYNN",
"state": "MA",
"postal_code": "019021306",
"telephone_number": "617-771-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NEW OCEAN ST APT 5",
"city": "LYNN",
"state": "MA",
"postal_code": "019021306",
"telephone_number": "617-629-6790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "ELIZABETH",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "1909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.