COUNSELING AND NUTRITION CENTER 360, LLC (NPI# 1477921781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477921781 |
| Entity Type | Organization |
| Organization Name | COUNSELING AND NUTRITION CENTER 360, LLC |
| Other Organization Name | CNC360 |
| Practice Address |
33 Bedford St Suite 20 Lexington MA 02420-4319 |
| Practice Telephone | 7816741189 |
| Practice Fax Number | 7818632646 |
| Mailing Telephone | 7816741189 |
| Mailing Fax Number | 7818632646 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | MS. ELIZABETH MARIE PEARL (OWNER) |
| Authorized Official Telephone | 7816741189 |
| Authorized Official Credential | MS, RD, LDN, CED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
118496 | MA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6779 | MA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| CNC360 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255767745 | Counseling and Nutrition Center 360, LLC | Dietitian, Registered | 373 Highland Ave, Suite 201, Somerville, MA 02144-2553 | 2013-09-17 |
| Street Address |
33 BEDFORD ST SUITE 20 |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02420-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356427835 | Rita F Hurwitz | Psychologist | 33 Bedford St, Suite 1, Lexington, MA 02420-4319 | 2006-10-27 |
| 1164976262 | Shannon Pacella | Physical Therapist | 33 Bedford St, Suite 3, Lexington, MA 02420-4319 | 2016-08-08 |
| 1962875781 | Molly Mayerson | Social Worker | 33 Bedford St, Suite 20, Lexington, MA 02420-4319 | 2015-11-02 |
| 1538544275 | Jennifer Eileen Locke | Dietitian, Registered | 33 Bedford St, Suite 20, Lexington, MA 02420-4319 | 2015-07-23 |
| 1801288824 | Akincilar and Prendergast, Inc | Clinic/Center | 33 Bedford St, Suite 3, Lexington, MA 02420-4319 | 2015-02-27 |
| 1265837660 | Molly Mayerson, Licsw | Social Worker | 33 Bedford St, Suite 20, Lexington, MA 02420-4319 | 2014-10-28 |
| 1740617596 | Hillary Monroe Mamis | Dietitian, Registered | 33 Bedford St, Sutie 20, Lexington, MA 02420-4319 | 2013-10-10 |
| 1427349372 | Endodontic Associates of Lexington | Dentist | 33 Bedford St, Suite 15, Lexington, MA 02420-4319 | 2011-04-27 |
| 1023324605 | Catherine Tellides Jaffee | Psychologist | 33 Bedford St, Suite 11, Lexington, MA 02420-4319 | 2010-08-20 |
| 1932435096 | Heidi Davidson | Dietitian, Registered | 33 Bedford St, Suite 20, Lexington, MA 02420-4319 | 2009-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958643 | Kristen Gargiulo | Physical Therapist | 57 Bedord Street, Ste 202, Lexington, MA 02420 | 2018-07-02 |
| 1902311616 | Lindsey Nicole Wilcox | Physical Therapist | 57 Bedford St Ste 202, Lexington, MA 02420 | 2017-12-05 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1235678178 | Rebecca Munini | Counselor | 76 Bedford Street, Suite 12, Office 1, Lexington, MA 02420 | 2017-02-13 |
| 1700332376 | Aretha Cohen | Speech-Language Pathologist | 840 Emerson Gardens Road, Excel Center, Lexington, MA 02420 | 2016-09-01 |
| 1710387915 | Niravkumar Patel | Internal Medicine | 4 Hadley Rd, Lexington, MA 02420 | 2014-08-26 |
| 1316368749 | Triad Adolescent Services | Counselor | 363 Mass Ave, Suite 204, Lexington, MA 02420 | 2014-01-03 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1780941914 | Varun Kapur | Surgery | 33 York St, Lexington, MA 02420 | 2012-04-12 |
| 1992091433 | Karolyn Mary Franz | Acupuncturist | 238 Bedford St Ste 5, Lexington, MA 02420 | 2011-06-23 |
| Find all providers in zip 02420 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383693 | Bowlight Partners LLC | Counselor | 32 Edgewood Rd, Lexington, MA 02420-3500 | 2020-10-13 |
| 1306450739 | Rebeca Griffith | Counselor | 304 Grey Oaks Ct, Lexington, SC 29072-7418 | 2020-09-02 |
| 1164034294 | Ashlyn Brooke Bordelon | Counselor | 113 Ivy Hill Ct, Lexington, SC 29072-8054 | 2020-08-19 |
| 1720698897 | Tracy Mae Springate | Counselor | 750 Shaker Dr Apt 202, Lexington, KY 40504-3725 | 2020-08-04 |
| 1760090724 | Statera Counseling, LLC | Counselor | 281 Governors Grant Blvd, Lexington, SC 29072-8826 | 2020-07-16 |
| 1396361374 | Courtney Scott | Counselor | 1666 Massachusetts Ave Fl 2, Lexington, MA 02420-5313 | 2020-06-24 |
| 1144846684 | A Better Way | Counselor | 366 Waller Ave Ste 213, Lexington, KY 40504-2921 | 2020-06-21 |
| 1366067381 | Kadie Ann Bourgoin | Counselor | 230 White Oleander Dr, Lexington, SC 29072-7037 | 2020-06-15 |
| 1629690672 | Summit Counseling Center | Counselor | 145 Burt Rd Ste 19, Lexington, KY 40503-2401 | 2020-05-13 |
| 1083240709 | Seung Hee Oh | Counselor | 7 Stedman Rd Apt 301, Lexington, MA 02421-7133 | 2020-03-13 |
| Find all providers in LEXINGTON | ||||
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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.