Active NPI
Andrew N/a Gaughan, LADC 11
- Addiction (Substance Use Disorder) Counselor
- New Bedford, MA
National Provider Identifier
1033828876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 12900
- Practice address
- 8 Kilburn St
New Bedford, MA 02740-7321 - Phone
- (508) 979-1122
- NPI assigned
- Nov 21, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12900 | MA | Primary |
Addresses
Primary practice location
8 Kilburn St
New Bedford, MA 02740-7321
Mailing address
8 Kilburn St
New Bedford, MA 02740-7321
Phone (508) 979-1122
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 |
|---|---|---|---|
| 12900 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1033828876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 KILBURN ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027407321",
"telephone_number": "508-979-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 KILBURN ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027407321",
"telephone_number": "508-979-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUGHAN",
"first_name": "ANDREW",
"middle_name": "N/A",
"name_prefix": "Mr.",
"credential": "LADC 11",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "12900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.