MEDICARE: ADRIANA LARA MS, NCC, LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LMHC12353	MA

General Provider Information

NPI Number	:	1013431931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA LARA MS, NCC, LCMHC

Provider Business Mailing Address
First Line	:	439 MONTAGUE RD
Second Line	:
City	:	SHUTESBURY
State	:	MA
Zip	:	01072-9789
Country	:	US
Telephone Number	:	413-824-6047
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 WESTGATE CENTER DR # 1068
Second Line	:
City	:	HADLEY
State	:	MA
Zip	:	01035-9588
Country	:	US
Telephone Number	:	413-206-6464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2017
Last Update Date	:	03/14/2026

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