Active NPI
Christian Bauchard, LMHC
- Mental Health Counselor
- West Brookfield, MA
National Provider Identifier
1174657860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5933
- Practice address
- 62 Ware St
West Brookfield, MA 01585 - Phone
- (508) 867-4451
- Fax
- (508) 867-3555
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- 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 | 5933 | MA | Primary |
Addresses
Primary practice location
62 Ware St
West Brookfield, MA 01585
Mailing address
26 Kosta St
Worcester, MA 01607
Phone (508) 757-7562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1895711 | Medicaid | MA |
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 |
|---|---|---|---|
| 5933 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Brookfield Counseling Center Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- West Brookfield, MA
- NPI 1861801813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174657860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 KOSTA ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01607",
"telephone_number": "508-757-7562",
"fax_number": "508-867-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 WARE ST",
"city": "WEST BROOKFIELD",
"state": "MA",
"postal_code": "01585",
"telephone_number": "508-867-4451",
"fax_number": "508-867-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUCHARD",
"first_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1895711",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Brookfield, MA
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.