Johanna Elise Shriver Halligan, MT-BC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

289 Great Rd
Acton, MA 01720-4766

Phone

(978) 679-1200

Fax

(978) 486-4037

NPI assigned

May 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New England Center for Mental Health LLC

  • Mental Health Counselor
  • Acton, MA
  • NPI 1346560083
  Medicare reassignment NPD

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1154987303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BIRCH HILL RD",
            "city": "BROOKLINE",
            "state": "NH",
            "postal_code": "030332451",
            "telephone_number": "617-777-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204766",
            "telephone_number": "978-679-1200",
            "fax_number": "978-486-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVER HALLIGAN",
        "first_name": "JOHANNA",
        "middle_name": "ELISE",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Mary Sheridan, M.D.
• David Alexander Sherman, PHD, DPT, PT, ATC
• Sarah Grace Sherman, PT, ATC
• Claire Shindler
• Ilia Shlimak, MD
• Fangrui Shu
• Abby Jill Shuman, PSY.D.
• Michelle Silbert
• Kathryn Mary Silva, LICSW
• Katharine Carmichael Simmons, M.S. CCC-SLP

• Counselor in Acton, MA
• Providers in Acton, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.