NORTHEAST BEHAVIORAL HEALTH CORPORATION
NPI 1114638657
Community/Behavioral Health in Lawrence, MA

Active since December 06, 2022CLIA 22D2000317 · Waiver
12 METHUEN ST, LAWRENCE, MA 01840(978) 683-3128 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Behavioral Health Corporation NPPES

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

NORTHEAST BEHAVIORAL HEALTH CORPORATION (NPI 1114638657) is a healthcare organization registered as a community/behavioral health in Lawrence, Massachusetts and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Hilary Jacobs, President, as its authorized official.

NPPES Registry Identity

NPI1114638657
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNORTHEAST BEHAVIORAL HEALTH CORPORATION
Location Address12 METHUEN STLawrence, MA 01840-1772
Mailing Address199 Rosewood Dr Ste 250Danvers, MA 01923-1684 · (978) 968-1700
Organization SubpartNo
Authorized OfficialHilary JacobsPresident · (978) 968-1701
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 2, 2022
NPI 1114638657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

12 METHUEN ST, Lawrence, MA 01840

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2000317

Northeast Behavioral Health Corporation · Danvers, MA
Active · expires Nov 24, 2027
CLIA Number22D2000317
Laboratory TypeCommunity Behavioral
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorNalan Ward
Laboratory Phone(978) 412-2161
Laboratory LocationNortheast Behavioral Health Corporation111 Middleton Rd, Danvers, MA 01923
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
12 METHUEN ST
LAWRENCE, MA 01840
Nurse Practitioner (Psychiatric/Mental Health)
12 METHUEN ST
LAWRENCE, MA 01840
Counselor (Mental Health)
12 METHUEN ST
LAWRENCE, MA 01840
Social Worker (Clinical)
12 METHUEN ST
LAWRENCE, MA 01840
Community/Behavioral Health
12 METHUEN ST
LAWRENCE, MA 01840
Counselor (Addiction (Substance Use Disorder))
12 METHUEN ST, 3RD FLOOR
LAWRENCE, MA 01840
Counselor
12 METHUEN ST
LAWRENCE, MA 01840
Registered Nurse
12 METHUEN ST
LAWRENCE, MA 01840

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 Behavioral Health Corporation's NPI number?

The NPI number for Northeast Behavioral Health Corporation is 1114638657. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Northeast Behavioral Health Corporation located?

Northeast Behavioral Health Corporation is located at 12 Methuen St, Lawrence, MA 01840. The listed phone number is (978) 683-3128.

What is Northeast Behavioral Health Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Northeast Behavioral Health Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2000317) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northeast Behavioral Health Corporation was last updated on December 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.