Active NPIIndividual providerSole proprietor

Mr. Roscoe M Hurley, LADC I

Counselor, Addiction (Substance Use Disorder) in East Boston, Massachusetts

NPI Number1023806775
Practice location
25 White St, East Boston, MA 02128-5129
Fax
—
Last updated
April 30, 2025

Roscoe M. Hurley is a Counselor, Addiction (Substance Use Disorder) based in East Boston, MA. Roscoe M. Hurley practices in East Boston, MA and has the professional credentials of LADC I. The NPI Number for Roscoe M. Hurley is 1023806775 and holds a License No. 13663 (MA). The current practice location address for Roscoe M. Hurley is 25 White St, East Boston, MA 02128-5129 and can be reached out via phone at 617-447-1766.

Provider Profile Details

NPI Number
1023806775
Provider Name
Roscoe M. Hurley
Credential
LADC I
Provider Entity Type
Individual
Gender
Male
Address
25 White St, East Boston, MA 02128-5129
Phone Number
617-447-1766
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
April 30, 2025
Last Update Date
April 30, 2025
Certification Date
April 30, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 White St
East Boston, MA 02128-5129
Zip
02128-5129
Phone Number
617-447-1766
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
25 White St
East Boston, MA 02128-5129
City
East Boston
State
MA
Zip
02128-5129
Phone Number
617-447-1766

License Information

License Number
13663
License State
MA
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Roscoe M Hurley, LADC I?

The NPI number of Mr. Roscoe M Hurley, LADC I is 1023806775. It was assigned on April 30, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Roscoe M Hurley, LADC I?

Mr. Roscoe M Hurley, LADC I is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 13663.

Where does Mr. Roscoe M Hurley, LADC I practice?

The practice location is 25 White St, East Boston, MA 02128-5129. The office can be reached at 617-447-1766 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023806775 directly on the NPPES registry website.

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