LORI LYN KOSTAS (NPI# 1760829022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760829022 |
| Entity Type | Individual |
| Full Name | LORI LYN KOSTAS |
| Credential | ASSOCIATES |
| Practice Address |
20 Meadowbrook Rd Brockton MA 02301-7122 |
| Mailing Address |
25 Charles St Whitman MA 02382-2003 |
| Practice Telephone | 5086386010 |
| Practice Fax Number | 5086386050 |
| Mailing Telephone | 5056386010 |
| Mailing Fax Number | 5086386050 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
20 MEADOWBROOK RD |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376555276 | Joseph Aaron Shrand | Psychiatry & Neurology | 20 Meadowbrook Rd, Castle, Brockton, MA 02301-7122 | 2006-08-12 |
| 1649886912 | Haley Anne Vradenburg | Student in an Organized Health Care Education/Training Program | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-09-21 |
| 1972003226 | Andrew William Mccall | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2018-02-13 |
| 1285146308 | Andy Derolus Edouard | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-10-30 |
| 1235651217 | Ashley Marie Potts | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-07-12 |
| 1568902435 | Ashley D'acci | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-02-27 |
| 1346782935 | Molly Benoit | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-11-14 |
| 1033651740 | Amanda Hoeg | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-11-11 |
| 1639622004 | Nell Woodworth | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-08-02 |
| 1588013304 | Bryan Urday | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1720540156 | Nicilda Dejesus | Counselor | 204 Chatham West Dr, Brockton, MA 02301-1314 | 2019-04-04 |
| 1285160838 | Maria Atherton Jr. | Counselor | 17 Snell St, Brockton, MA 02301-1644 | 2017-05-02 |
| 1467726398 | Carin Rhodes | Counselor | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2012-02-23 |
| 1073817573 | Daniel Mendes Depina | Counselor | 682 North Main Street, Apt. 308, Brockton, MA 02301-3626 | 2010-12-27 |
| 1063713402 | Judith R Chaskes | Counselor | 30 Meadowbrook Road, Brockton, MA 02301 | 2010-11-16 |
| 1093957185 | Jerome P Posey | Counselor | 1311 Main St, Brockton, MA 02301-7109 | 2009-04-03 |
| 1548441587 | Sylvester Pereira Fortes | Counselor | 20 Hope St, Brockton, MA 02302-3415 | 2007-11-19 |
| 1184817579 | George Hamilton Brickhouse Jr. | Counselor | 108 Centre Street, Brockton, MA 02302 | 2007-08-20 |
| 1720282130 | Kathleen Mary Mckenna | Counselor | 225 Liberty St, Brockton, MA 02301-5571 | 2007-06-12 |
| Find all providers in BROCKTON | ||||
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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.