Active NPI
Wendy Short Carlton
- Professional Counselor
- Lexington, MA
National Provider Identifier
1124402656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000010085
- Practice address
- 27 Rockville Ave
Lexington, MA 02421-6118 - Phone
- (256) 797-1019
- NPI assigned
- Jul 14, 2015
- Last updated
- Apr 6, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000010085 | MA | Primary |
Addresses
Primary practice location
27 Rockville Ave
Lexington, MA 02421-6118
Mailing address
27 Rockville Ave
Lexington, MA 02421-6118
Phone (256) 797-1019
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 |
|---|---|---|---|
| 000010085 | MA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1124402656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 ROCKVILLE AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024216118",
"telephone_number": "256-797-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 ROCKVILLE AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024216118",
"telephone_number": "256-797-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLTON",
"first_name": "WENDY",
"middle_name": "SHORT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "000010085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.