Active NPI
Meghan B. McIntire, LMHC
- Mental Health Counselor
- Worcester, MA
National Provider Identifier
1003252370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9436
- Practice address
- 397 Grove St
Worcester, MA 01605-1223 - Phone
- (508) 791-3677
- Fax
- (508) 791-3655
- NPI assigned
- May 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 9436 | MA | Primary |
Addresses
Primary practice location
397 Grove St
Worcester, MA 01605-1223
Mailing address
397 Grove St
Worcester, MA 01605-1223
Phone (508) 791-3677
Other practice location 1
255 Park Ave
Worcester, MA 01609-1953
Phone (508) 799-0688
Other names 1
- Meghan C. Buckley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9436 | MA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Edge Counseling LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Worcester, MA
- NPI 1164092334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1003252370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 GROVE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051223",
"telephone_number": "508-791-3677",
"fax_number": "508-791-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 GROVE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051223",
"telephone_number": "508-791-3677",
"fax_number": "508-791-3655"
}
],
"practiceLocations": [
{
"address_1": "255 Park Ave",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016091953",
"country_code": "US",
"telephone_number": "508-799-0688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINTIRE",
"first_name": "MEGHAN",
"middle_name": "B.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGHAN",
"last_name": "BUCKLEY",
"middle_name": "C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.