NPIMap

Organization Active NPI

Andover Counseling Center

  • Clinical Social Worker
  • North Andover, MA
National Provider Identifier
1114132545
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102691 Issued in MA
Legal business name
ANDOVER COUNSELING CENTER
Practice address
565 Turnpike St
Suite 81
North Andover, MA 01845-5922
Phone
(978) 682-1597
NPI assigned
May 11, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary GoldsteinNPI 1114033263
Title
Director
Phone
(978) 682-1579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 102691 MA Primary

Addresses

Primary practice location

565 Turnpike St
Suite 81
North Andover, MA 01845-5922

Mailing address

565 Turnpike St
Suite 81
North Andover, MA 01845-5922
Phone (978) 682-1597

National Provider Directory

National Provider Directory

Locations

565 Turnpike St
Ste 81
North Andover, MA 01845
Phone (978) 302-9976

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1114132545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST",
            "address_2": "SUITE 81",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455922",
            "telephone_number": "978-682-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST",
            "address_2": "SUITE 81",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455922",
            "telephone_number": "978-682-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "978-682-1579"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.