Individual provider Active NPI

Willard Metcalfe

  • Mental Health Counselor
  • Claremont, NH
National Provider Identifier
1194179044
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
52 W Pleasant St
Claremont, NH 03743-3055
Phone
(603) 542-2578
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

52 W Pleasant St
Claremont, NH 03743-3055

Mailing address

9 Hanover St Ste 2
Lebanon, NH 03766-1312
Phone (603) 448-0126

Other identifiers 1

IdentifierTypeStateIssuer
3077550MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20190321001309 NH Practitioner - Clinical Social Worker 5799025177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Central Services, Inc.Group PAC ID 0840263232, 5 clinicians

Practice addresses (Care Compare)

52 W Pleasant St
Claremont, NH 03743-3055
Phone (603) 542-2578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Services, Inc. CurrentSince Feb 19, 2019 Accepting new patients
West Central Services, Inc Past Accepting new patients

Locations

52 W Pleasant St
Claremont, NH 03743
Phone (603) 448-0126

85 Mechanic St
Ste C21
Lebanon, NH 03766

9 Hanover St
#2
Lebanon, NH 03766
Phone (603) 448-0126

85 Mechanic St
Unit A10
Lebanon, NH 03766
Phone (603) 448-0126

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1194179044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HANOVER ST STE 2",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661312",
            "telephone_number": "603-448-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W PLEASANT ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037433055",
            "telephone_number": "603-542-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALFE",
        "first_name": "WILLARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077550",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

Verify at the official NPI Registry.