Active NPI
David Andre
- Mental Health Counselor
- Holyoke, MA
National Provider Identifier
1003378449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 476 Appleton St
Holyoke, MA 01040-4186 - Phone
- (413) 315-3194
- NPI assigned
- Apr 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
476 Appleton St
Holyoke, MA 01040-4186
Mailing address
476 Appleton St
Holyoke, MA 01040-4186
Phone (413) 315-3194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990383803 | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1003378449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 APPLETON ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010404186",
"telephone_number": "413-315-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476 APPLETON ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010404186",
"telephone_number": "413-315-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRE",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-04",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "990383803",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.