Granite Pond, LLC
NPI 1396081196ActiveOrganization· Counselor, Mental Health· Lynn, MA
Counselor, Mental Health in Lynn, Massachusetts, registered in NPPES in December 2012. The authorized official on file is Christopher M. Miller, LMHC, Sole Proprietor.
Overview
| NPI | 1396081196 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 25, 2012 |
| Last updated in NPPES | Dec 22, 2025 |
| Certified by provider | Dec 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 8106 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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