Active NPI
John Hollis Meiklejohn, LICSW, BCD
- Mental Health Counselor
- Westfield, MA
National Provider Identifier
1164430575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 104424
- Practice address
- 45 Broad St
Westfield, MA 01085-2956 - Phone
- (413) 568-9858
- Fax
- (413) 568-6492
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 104424 | MA | Primary |
Addresses
Primary practice location
45 Broad St
Westfield, MA 01085-2956
Mailing address
183 Silver St
Granville, MA 01034-9476
Phone (413) 357-6342
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02478 | Other | MA | BC/BS ID NUMBER |
| 495584 | Other | MA | TUFTS ID NUMBER |
| 272826 | Other | MA | MBC IDENTIFICATION NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104424 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164430575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 SILVER ST",
"city": "GRANVILLE",
"state": "MA",
"postal_code": "010349476",
"telephone_number": "413-357-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 BROAD ST",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010852956",
"telephone_number": "413-568-9858",
"fax_number": "413-568-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEIKLEJOHN",
"first_name": "JOHN",
"middle_name": "HOLLIS",
"name_prefix": "Mr.",
"credential": "LICSW, BCD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "104424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS ID NUMBER",
"identifier": "P02478",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS ID NUMBER",
"identifier": "495584",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBC IDENTIFICATION NUMBER",
"identifier": "272826",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, MA
- Samantha McVay, MD
- Medexpress Urgent Care, PC - Massachusetts (MedExpress Urgent Care - Westfield, E Main St)
- Nicole Mary Megazzini
- Mehdi Pajouh, MD (Westfield Cardiology, LLC)
- Lisa Marie Meier
- Lisa Melnick
- Jessica L Menard, NP
- Gillianne Mensah
- George Andrew Mercier, M.S.W., L.I.C.S.W.
- Mercy Adult Day Health of Westfield
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.