NIRVA MENTOR (NPI# 1740628262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740628262 |
Entity Type | Individual |
Full Name | NIRVA MENTOR |
Practice Address |
77 E Merrimack St Lowell MA 01852-1251 |
Practice Telephone | 9784536800 |
Mailing Telephone | 9787298656 |
Enumeration Date | 2013-06-06 |
Last Update Date | 2013-06-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
77 E MERRIMACK ST |
City | LOWELL |
State | MA |
Zip Code | 01852-1251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659365146 | Le My Doan II | Psychologist | 77 E Merrimack St, 23, Lowell, MA 01852-1251 | 2005-09-12 |
1902410038 | Giovana Sacchetto Lippi | Counselor | 77 E Merrimack St, Lowell, MA 01852-1251 | 2020-09-04 |
1205466901 | Gabriela Nunes | Counselor | 77 E Merrimack St, Lowell, MA 01852-1251 | 2020-01-22 |
1003459157 | Janitza Arce | Social Worker | 77 E Merrimack St, Lowell, MA 01852-1251 | 2019-10-22 |
1831730936 | Dania E Galdamez | Counselor | 77 E Merrimack St, Lowell, MA 01852-1251 | 2019-10-01 |
1649820028 | Heather Corday Allard | Social Worker | 77 E Merrimack St, Lowell, MA 01852-1251 | 2019-09-17 |
1518519834 | Anthony Joseph Cotoni | Social Worker | 77 E Merrimack St, Lowell, MA 01852-1251 | 2019-07-16 |
1407418668 | Mary Luz Benitez Acosta | Social Worker | 77 E Merrimack St, Lowell, MA 01852-1251 | 2019-07-08 |
1760045173 | Leah Sparks | Social Worker | 77 E Merrimack St, Lowell, MA 01852-1251 | 2019-04-22 |
1386114700 | Bridget Danielle Anderson | Social Worker | 77 E Merrimack St, Lowell, MA 01852-1251 | 2018-11-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
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Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104432269 | Lea Anne Freitas | Counselor | 1230 Bridge St Ste 1, Lowell, MA 01850-1261 | 2020-09-23 |
1902442379 | Bethany Joy Hanks | Counselor | 11555 W Grand River Ave, Lowell, MI 49331-8464 | 2019-11-20 |
1629535588 | Kenny Cano | Counselor | 180 Dalton St, Lowell, MA 01850-1440 | 2019-02-27 |
1982105854 | Ishani Mehta | Counselor | 240 Varnum Ave, Lowell, MA 01854-2535 | 2018-02-26 |
1598266918 | Kevin Brito | Counselor | 104 Lewis St, Lowell, MA 01854-4213 | 2018-02-21 |
1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
1477087849 | Richard Makokha | Counselor | 144 Merrimack St Ste 101, Lowell, MA 01852-1725 | 2017-04-12 |
1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
1952843880 | Paula Fraga | Counselor | 11 Mill Street, Lowell, MA 01852 | 2016-11-09 |
1528459252 | Christian Demetrius Jimenez | Counselor | 287 Pleasant St, Lowell, MA 01852-3629 | 2015-02-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.