KARL DECKERT (NPI# 1699392399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699392399 |
| Entity Type | Individual |
| Full Name | KARL DECKERT |
| Practice Address |
112 Market St Lynn MA 01901-1148 |
| Mailing Address |
110 Boston St Salem MA 01970-1402 |
| Practice Telephone | 7815937676 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
112 MARKET ST |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669014726 | Madelin Henriquez Duarte | Counselor | 112 Market St, Lynn, MA 01901-1148 | 2019-10-10 |
| 1730732900 | Madison Tougas | Counselor | 112 Market St, Lynn, MA 01901-1148 | 2019-07-17 |
| 1962065581 | Michel Taveras | Behavioral Analyst | 112 Market St, Lynn, MA 01901-1125 | 2019-04-18 |
| 1790263739 | Julia Ozog | Counselor | 112 Market St, Lynn, MA 01901-1125 | 2018-08-01 |
| 1942792718 | Angela Nicole Anderson | Counselor | 112 Market St, Lynn, MA 01901-1125 | 2018-06-06 |
| 1376035469 | Kimberly Lynne Lezott | Counselor | 112 Market St, Lynn, MA 01901-1125 | 2018-06-04 |
| 1427545870 | Xiomara Aponte | Counselor | 112 Market St, Lynn, MA 01901-1125 | 2018-04-20 |
| 1477084820 | Moira Curran | Counselor | 112 Market St, Lynn, MA 01901-1125 | 2017-03-27 |
| 1811446826 | Kendra Lynn Boyle | Student in an Organized Health Care Education/Training Program | 112 Market St, Lynn, MA 01901-1125 | 2016-10-03 |
| 1174071302 | Danielle Lovejoy | Social Worker | 112 Market St, Lynn, MA 01901-1125 | 2016-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| 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 |
|---|---|---|---|---|
| 1942780671 | Richard Cornell Valentine Jr. | Counselor | 27 Bulfinch St, Lynn, MA 01904-3107 | 2018-08-21 |
| 1811481823 | Jermaine Lee Patterson | Counselor | 14 Brimblecom St, Lynn, MA 01902-4207 | 2018-06-22 |
| 1801387832 | Jessica Lea Chezhia | Counselor | 181 Union St., Suite J, Lynn, MA 01907 | 2018-05-24 |
| 1871005009 | Jonathan Gratini | Counselor | 9 Rogers Ave, Lynn, MA 01902-3802 | 2017-10-27 |
| 1720513336 | Janirca Jimenez | Counselor | 61 Piedmont St, Lynn, MA 01904-1906 | 2017-04-21 |
| 1497286959 | Cathy Lillian Ventura | Counselor | 213 Eastern Ave Fl 1, Lynn, MA 01902-1334 | 2017-03-25 |
| 1477093540 | Sayed Hashimi | Counselor | 20 Wheeler St Fl 4, Lynn, MA 01902-4178 | 2017-03-08 |
| 1407395429 | Dalene Basden | Counselor | 177 Fayette St, Lynn, MA 01902-2237 | 2017-02-23 |
| 1245774975 | Janice Castillo Paulino | Counselor | 173 Essex St Apt 3, Lynn, MA 01902-1721 | 2016-12-14 |
| 1568904753 | Cassandra Amenta | Counselor | 5 Park Rd, Lynn, MA 01904-1609 | 2016-11-06 |
| Find all providers in LYNN | ||||
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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.