CONOR LAVERY (NPI# 1174035752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174035752 |
| Entity Type | Individual |
| Full Name | CONOR LAVERY |
| Practice Address |
22 Old Canal Dr Lowell MA 01851-2730 |
| Mailing Address |
16 Harvard Dr Bedford MA 01730-1020 |
| Practice Telephone | 9784536800 |
| Mailing Telephone | 7818794213 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2020-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
22 OLD CANAL DR |
| City | LOWELL |
| State | MA |
| Zip Code | 01851-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730339045 | Martha Sue Root | Nurse Practitioner | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2008-09-23 |
| 1093315483 | Ginta Bistras | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-10-27 |
| 1689281354 | Christine Carr | Social Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-09-28 |
| 1679188353 | Lindsey Burgess | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-09-10 |
| 1952913535 | Jacquelynn Rodriguez | Case Manager/Care Coordinator | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-08-17 |
| 1902415250 | Sofia Shahid | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-07-23 |
| 1790301844 | Dereck Ceurvels I | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-06-24 |
| 1235750407 | Emily Fischofer | Community Health Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-04-29 |
| 1659904787 | Michael Gorman | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-02-18 |
| 1629618764 | Paul Rith Som | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508340233 | Tara D Gabriel | Social Worker | 130 Pine Street, Lowell, MA 01851 | 2018-09-19 |
| 1699257022 | Jennifer Walsh Favreau | Social Worker | 740 Princeton Blvd. Apt. 22, Lowell, MA 01851 | 2018-09-01 |
| 1366951022 | Natalie V Lopez | Counselor | 507 Redwood Ln, Lowell, MA 01851 | 2017-09-26 |
| 1962929877 | Dependable Transportation Inc. | Non-emergency Medical Transport (VAN) | 45 Pratt Ave, Unit 4, Lowell, MA 01851 | 2017-08-23 |
| 1053851733 | Excel Dental, P.C. | Dentist | 158 Wood Street, Unit 3, Lowell, MA 01851 | 2017-03-01 |
| 1982067468 | Vishal Sohal | Dentist | 26 Wood St, Dental Dreams, Lowell, MA 01851 | 2016-04-01 |
| 1689067407 | Craig David Milliken | Social Worker | 319 Wilder Street, Lowell, MA 01851 | 2015-03-18 |
| 1063801413 | Michael Bobola | Counselor | 22 Old Canal Drrive, Lowell, MA 01851 | 2015-01-22 |
| 1124422944 | Greater Lowell Private Nursing Services and Education | Home Health | 963 Chelmsford Street, Lowell, MA 01851 | 2014-10-22 |
| 1669886602 | Chitrang B. Patel | Dentist | 158 Wood St Unit 3, Lowell, MA 01851 | 2014-06-18 |
| Find all providers in zip 01851 | ||||
| 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 |
| Find all providers in LOWELL | ||||
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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.