Active NPI
Gregory Withers, M.ED, LADC 1
- Addiction (Substance Use Disorder) Counselor
- Attleboro, MA
National Provider Identifier
1093300121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18440
- Practice address
- 23 N Main St
Attleboro, MA 02703-2217 - Phone
- (508) 277-2461
- NPI assigned
- Mar 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 18440 | MA | Primary |
Addresses
Primary practice location
23 N Main St
Attleboro, MA 02703-2217
Mailing address
22 Daggett Rd
Attleboro, MA 02703-1551
Phone (508) 277-2461
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18440 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1093300121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 DAGGETT RD",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027031551",
"telephone_number": "508-277-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 N MAIN ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032217",
"telephone_number": "508-277-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERS",
"first_name": "GREGORY",
"credential": "M.ED, LADC 1",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "18440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.