Organization Active NPI

Golden Edge Counseling LLC

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1164092334
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GOLDEN EDGE COUNSELING LLC
Practice address
67 Millbrook St Ste 506
Worcester, MA 01606-2846
Phone
(774) 437-6753
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Mrs. Meghan Buckley McIntire, LMHCNPI 1003252370
Title
Licensed Mental Health Clinician
Phone
(603) 498-6398

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

67 Millbrook St Ste 506
Worcester, MA 01606-2846

Mailing address

PO Box 365
Rutland, MA 01543-0365
Phone (603) 498-6398

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1164092334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015430365",
            "telephone_number": "603-498-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MILLBROOK ST STE 506",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062846",
            "telephone_number": "774-437-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN EDGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "MCINTIRE",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "BUCKLEY",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "603-498-6398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.