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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTHEAST INDEPENDENT LIVING PROGRAM INC
NPI 1003936774
Counselor in Lawrence, MA

Active since March 29, 2007
20 BALLARD RD, LAWRENCE, MA 01843(978) 687-4288(978) 689-4488 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Northeast Independent Living Program Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST INDEPENDENT LIVING PROGRAM INC (NPI 1003936774) is a healthcare organization registered as a counselor in Lawrence, Massachusetts and active in the NPI registry since March 2007. The organization lists Matthew Pellegrino, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003936774
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameNORTHEAST INDEPENDENT LIVING PROGRAM INC
Location Address20 BALLARD RDLawrence, MA 01843-1018
Mailing Address20 Ballard RdLawrence, MA 01843-1018 · (978) 687-4288 · Fax (978) 689-4488
Phone(978) 687-4288
Fax(978) 689-4488
Organization SubpartNo
Authorized OfficialMatthew PellegrinoCeo · (978) 245-8480
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1003936774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
Also ListedHome HealthTaxonomy 251E00000X
20 BALLARD RD, Lawrence, MA 01843
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Other Identifiers 1

Other5800161MA · Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Independent Living Program Inc's NPI number?

The NPI number for Northeast Independent Living Program Inc is 1003936774. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Northeast Independent Living Program Inc located?

Northeast Independent Living Program Inc is located at 20 Ballard Rd, Lawrence, MA 01843. The listed phone number is (978) 687-4288.

What is Northeast Independent Living Program Inc's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Northeast Independent Living Program Inc was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.