Individual ProviderKristen LourensCounselorBehavioral Health & Social Service ProvidersPractice Address64b Regent St, Roxbury, MA 02119-1980(617) 861-4950(860) 899-0969PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Lourens is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699322313Provider TypeIndividualFull NameLourens, KristenCredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date8/19/2019Last Updated8/19/2019Contact InformationPractice LocationPractice Address64b Regent St, Roxbury, MA 02119-1980Phone(617) 861-4950FaxUnlisted FaxMailing LocationMailing Address83 Withington Rd, Newton, MA 02460-2037Phone(860) 899-0969FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense11400Massachusetts