MR. KENNETH ROLAND LACERTE (NPI# 1366739922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366739922 |
| Entity Type | Individual |
| Full Name | MR. KENNETH ROLAND LACERTE |
| Credential | LMHC |
| Practice Address |
416 Hilldale Ave Haverhill MA 01832-2561 |
| Mailing Address |
416 Hilldale Ave Haverhill MA 01832 |
| Practice Telephone | 9782734128 |
| Mailing Telephone | 9782734128 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
530 | MA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
207269 | MA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 521 | MA | Behavioral Health & Social Service Providers |
| Street Address |
416 HILLDALE AVE |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01832-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887503 | Emely D Valenzuela Toribio | Behavioral Analyst | 116 Klondike Ave Apt 104, Lawrence, Haverhill, MA 01832 | 2019-02-11 |
| 1184194821 | Janet De Leon | Social Worker | 78 Perkins Ct, Haverhill, MA 01832 | 2018-11-26 |
| 1073005765 | Krista Boucher | Behavioral Analyst | 62 Wingate St Apt 3b, Haverhill, MA 01832 | 2018-05-30 |
| 1619354172 | Hearts To Home | Home Health | 72 Broadway #1, Haverhill, MA 01832 | 2015-05-04 |
| 1316238363 | Shaine Anthony Alvaranga | Counselor | 25 Victor St, Apt 1, Haverhill, MA 01832 | 2011-04-26 |
| 1851487979 | Stacey Bogue Foster | Social Worker | 266 Waverly Road, North Andover, MA 01832 | 2006-10-05 |
| 1023587763 | Kim Phan | Pharmacist | 425 Lowell Ave, Haverhill, MA 01832 | 2018-11-23 |
| 1164896015 | Amy Burkland | Counselor | 230 Liberty St, Haverhill, MA 01832-1034 | 2015-11-16 |
| 1669919098 | Tyler Woelfel | Specialist/Technologist | 7 White Oak Cir, Haverhill, MA 01832-1075 | 2017-01-24 |
| 1831229541 | Susan Margaret Lawlor | Registered Nurse | 6 Danielle Dr, Haverhill, MA 01832-1130 | 2007-03-06 |
| Find all providers in zip 01832 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609363738 | Christine Edwards | Counselor | 54 Winter St, Haverhill, MA 01830-5760 | 2018-04-14 |
| 1043658024 | Dawn Marie Lawrence | Counselor | 10 Howard St, Haverhill, MA 01830-4006 | 2013-06-12 |
| 1760643142 | Stacy A Reid Seward | Counselor | 76 Winter St, Haverhill, MA 01830-5760 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678222 | Elaine Walker | Counselor | 608 Highland Ave, Malden, MA 02148-2426 | 2020-11-01 |
| 1033719364 | Larry Quemere | Counselor | 18 Columbia Rd, Pembroke, MA 02359-1895 | 2020-10-27 |
| 1275147506 | Tamara Nixon | Counselor | 98 Pebble Ln, N Falmouth, MA 02556-2123 | 2020-09-03 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1538789649 | Catherine G. Mueller-bell | Counselor | 525 Mattakeesett St, Pembroke, MA 02359-2918 | 2020-04-18 |
| 1962032144 | Samantha Kassandra Deveau | Counselor | 5110 Washington St Apt 6, West Roxbury, MA 02132-5212 | 2020-01-16 |
| 1982247318 | Taryn Reynolds | Counselor | 463 Worcester Rd Ste 406, Framingham, MA 01701-5354 | 2019-10-17 |
| 1952943284 | Sagamore Counseling | Counselor | 345 Old Plymouth Rd, Sagamore Beach, MA 02562-2304 | 2019-10-08 |
| 1366008617 | Couples Therapy Inc. | Counselor | 204 Arsenal St, Watertown, MA 02472-2781 | 2019-05-13 |
| 1457916264 | Heather E Revill | Counselor | 98 Fair Dr, Somerset, MA 02726-5926 | 2019-05-07 |
| Find all providers with the same taxonomy | ||||
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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.