NORTH SHORE WELLNESS & THERAPY CENTER, LLC (NPI# 1902354640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902354640 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE WELLNESS & THERAPY CENTER, LLC |
| Practice Address |
80 Lindall St Danvers MA 01923-2135 |
| Practice Telephone | 9784064234 |
| Practice Fax Number | 9789212968 |
| Mailing Telephone | 9784064234 |
| Mailing Fax Number | 9789212968 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |
| Authorized Official Name | MR. DAVID L SMITH (MANAGING PARTNER) |
| Authorized Official Telephone | 9784064234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
80 LINDALL ST |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606016 | Anna E. Petropoulos | Otolaryngology | 80 Lindall St, Danvers, MA 01923-2135 | 2005-08-16 |
| 1396287694 | Precious Smiles of Danvers LLC | Clinic/Center | 80 Lindall St, Suite 7, Danvers, MA 01923-2135 | 2016-11-17 |
| 1922412477 | Carol Emerson | Nurse Practitioner | 80 Lindall St, Danvers, MA 01923-2135 | 2014-06-12 |
| 1053541540 | Ashley Gallant Forster | Counselor | 80 Lindall St, Danvers, MA 01923-2135 | 2009-07-20 |
| 1851575583 | Kristen Skobe-ribeiro | Registered Nurse | 80 Lindall St, Danvers, MA 01923-2135 | 2007-12-17 |
| 1457545311 | N. Terry Fayad, D.m.d., P.C. | Dentist | 80 Lindall St, #9, Danvers, MA 01923-2135 | 2007-09-04 |
| 1437203502 | Maureen M Mathews | Pediatrics | 80 Lindall St, Danvers, MA 01923-2135 | 2007-01-23 |
| 1144374513 | Kathryn M Therrien | Nurse Practitioner | 80 Lindall St, The Hunt Building, Danvers, MA 01923-2135 | 2007-01-23 |
| 1952414518 | Naief Terry Fayad | Dentist | 80 Lindall St, #9, Danvers, MA 01923 | 2006-08-17 |
| 1235164930 | Roger W. Sachs | Dentist | 80 Lindall St, Suite 4, Danvers, MA 01923-2135 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| Find all providers in zip 01923 | ||||
| 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 |
|---|---|---|---|---|
| 1043782733 | Anna Mae Rourke | Counselor | 4 Otis St Unit 3, Danvers, MA 01923-1979 | 2018-12-19 |
| 1518440239 | Benjamin D Hoyt | Counselor | 199 Rosewood Dr Ste 220, Danvers, MA 01923-1388 | 2018-09-09 |
| 1730526286 | Marnie Matthews | Counselor | 300 Rosewood Dr, Suite 200, Danvers, MA 01923-1384 | 2013-05-23 |
| 1154605327 | Catherine Anne Johnson | Counselor | 435 Newbury St Ste 214, Danvers, MA 01923-1065 | 2011-10-05 |
| 1114219052 | Bethany R Osborne | Counselor | 103 Burley St, Danvers, MA 01923-2329 | 2011-05-11 |
| 1750601738 | Therese G Cravatis | Counselor | 5 Bayview Ave, Danvers, MA 01923-3123 | 2010-06-01 |
| 1922217025 | Rose Pietal | Counselor | 33 Wenham St, Danvers, MA 01923-1703 | 2007-05-22 |
| 1588276778 | Hallie Stone | Counselor | 111 Middleton Rd, Danvers, MA 01923-4000 | 2020-08-19 |
| 1508343666 | Alycia Schutz | Counselor | 91 North St, Danvers, MA 01923-1134 | 2018-07-22 |
| 1386157089 | William J Getty | Counselor | 111 Middleton Rd, Danvers, MA 01923-4000 | 2017-11-16 |
| Find all providers in DANVERS | ||||
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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.