FRED BOATENG (NPI# 1801217922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801217922 |
| Entity Type | Individual |
| Full Name | FRED BOATENG |
| Practice Address |
52 W Meadow Rd Lowell MA 01854-1421 |
| Practice Telephone | 9784831006 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |
| 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 |
52 W MEADOW RD |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| 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.