CMS-1500 Box 24J / 33a • NPI
1083745582
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103G00000X
Licensed & Credentialed Clinical Neuropsychologist
Box 32 Service Location & ZIP+4
87 WASHINGTON ST, BOXFORD, MA, 01921-1240
✓ 9-Digit EDI 837 ZIP+4 (01921-1240)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1083745582 (LAFAYETTE COUNSELING CENTER, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1083745582 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | LAFAYETTE COUNSELING CENTER, LLC |
| Plain-English Specialty | Licensed & Credentialed Clinical Neuropsychologist NUCC Code: 103G00000X (Clinical Neuropsychologist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 87 WASHINGTON ST, BOXFORD, MA, 01921-1240 |
| Practice Telephone / Fax | Tel: (978) 352-8269 |
| Administrative Mailing Address | 87 WASHINGTON ST, BOXFORD, MA, 01921-1240 |
| Enumeration & Last Sync | Enumerated: 2007-03-08 | CMS Record Updated: 2007-12-26 |
| Authorized Official | DIANE STOLER (Dr) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (103G00000X)
What Does Taxonomy Code 103G00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103G00000X translates to:
"Licensed & Credentialed Clinical Neuropsychologist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LAFAYETTE COUNSELING CENTER, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103TE1100X — Psychologist, Exercise & SportsPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports | State: MA | License: 2229 | Primary: Secondary |
103TH0100X — Psychologist, Health ServicePlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health Service | State: MA | License: 2229 | Primary: Secondary |
103TR0400X — Psychologist, RehabilitationPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation | State: MA | License: 2229 | Primary: Secondary |
103G00000X — Clinical NeuropsychologistPlain English: Licensed & Credentialed Clinical Neuropsychologist | State: MA | License: 2229 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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