Active NPI
Elizabeth Nicole Grandmaison
- Mental Health Counselor
- Methuen, MA
National Provider Identifier
1144790635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 100A Haverhill St
Methuen, MA 01844-4297 - Phone
- (978) 682-5276
- NPI assigned
- Nov 28, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
100A Haverhill St
Methuen, MA 01844-4297
Mailing address
100A Haverhill St
Methuen, MA 01844-4297
Phone (978) 682-5276
Other practice location 1
491 Main St
Athol, MA 01331-1846
Phone (978) 249-9490 ext. 4013
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": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1144790635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100A HAVERHILL ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444297",
"telephone_number": "978-682-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100A HAVERHILL ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444297",
"telephone_number": "978-682-5276"
}
],
"practiceLocations": [
{
"address_1": "491 Main St",
"address_purpose": "LOCATION",
"city": "Athol",
"state": "MA",
"postal_code": "013311846",
"country_code": "US",
"telephone_number": "978-249-9490 x4013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANDMAISON",
"first_name": "ELIZABETH",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.