LEA STEPHANIE ROJAS OTERO (NPI# 1861941890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861941890 |
| Entity Type | Individual |
| Full Name | LEA STEPHANIE ROJAS OTERO |
| Credential | M.A. |
| Practice Address |
142 Crescent St Brockton MA 02302-3104 |
| Mailing Address |
147 Norman St West Springfield MA 01089-5003 |
| Practice Telephone | 5082326670 |
| Mailing Telephone | 4137368329 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CCA | 042622756 | 01 |
| MA | 1134107113 | 05 | |
| MA | FALLON | 1134107113 | 01 |
| MA | HNE | 12529 | 01 |
| MA | MBHP | 1134107113 | 01 |
| MA | BEACON | 1134107113 | 01 |
| MA | NETWORK HEALTH | 997303 | 01 |
| MA | NHP | 1134107113 | 01 |
| MA | TUFTS | 71756 | 01 |
| Street Address |
142 CRESCENT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396952149 | Efrain Baez | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2007-05-17 |
| 1457747131 | Gloria Alfaro-nieves | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-04-09 |
| 1699168112 | Julia Martins | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-03-09 |
| 1629466982 | Karina Perona-fassi | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-01-08 |
| 1063832913 | Maria Amelia Gomes | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2014-04-18 |
| 1225452097 | Jason Yamil Perez I | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Second Floor, Brockton, MA 02302-3104 | 2014-02-13 |
| 1588000178 | Fritzlaine Thermidor | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Brockton, MA 02302-3104 | 2013-05-22 |
| 1093062754 | Basile Bazina | Counselor | 142 Crescent St, Second Floor, Brockton, MA 02302-3104 | 2012-08-12 |
| 1588911713 | Casandra Ann Smaller | Student in an Organized Health Care Education/Training Program | 142 Crescent St, 2nd Floor, Brockton, MA 02302-3104 | 2012-08-07 |
| 1336421007 | Jimmy Efrain Guity | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Brockton, MA 02302-3104 | 2011-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| 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 |
|---|---|---|---|---|
| 1720695919 | Albert Bruce Myers Iv | Counselor | 139 Ash St, Brockton, MA 02301-3663 | 2020-09-30 |
| 1437762085 | Laura Elizabeth Regal | Counselor | 231 Main St # 3, Brockton, MA 02301-4342 | 2020-08-24 |
| 1104313949 | Michelle K. Hennessy | Counselor | 103 Commercial St Ste 2, Brockton, MA 02302-3133 | 2018-04-17 |
| 1447767215 | Kafayat Bello | Counselor | 5 Raintree Cir Apt F, Brockton, MA 02302-1912 | 2018-01-03 |
| 1518495928 | Shacorra Williams | Counselor | 12 Montgomery St, Brockton, MA 02301-3714 | 2017-05-30 |
| 1710426911 | Michael Campbell | Counselor | 347 Quincy St, Brockton, MA 02302-3419 | 2017-02-21 |
| 1386181857 | Wecjard Emmanuel | Counselor | 331 N Quincy St, Brockton, MA 02302-1940 | 2017-01-23 |
| 1427502814 | Lauren Mackenzie Suarez | Counselor | 63 Whitmore St, Brockton, MA 02301-5660 | 2016-08-15 |
| 1972957439 | Kassandra Morales | Counselor | 4 Sophia Ave, Brockton, MA 02301-2135 | 2016-04-20 |
| 1447658208 | Altine Simon | Counselor | 74 Pine Grove Dr, Brockton, MA 02301-1115 | 2014-12-10 |
| Find all providers in BROCKTON | ||||
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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.