Active NPI
Michael Christopher Bronner, LMHC
- Mental Health Counselor
- Worcester, MA
National Provider Identifier
1194843078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8472
- Practice address
- 606 Salisbury St
Worcester, MA 01609-1308 - Phone
- (617) 952-2945
- NPI assigned
- Mar 27, 2007
- Last updated
- Aug 27, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8472 | MA | Primary |
| Professional Counselor | 101YP2500X | 8972 | MA | |
| Professional Counselor | 101YP2500X | 002148 | CT |
Addresses
Primary practice location
606 Salisbury St
Worcester, MA 01609-1308
Mailing address
606 Salisbury St
Worcester, MA 01609-1308
Phone (617) 952-2945
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 |
|---|---|---|---|
| 8972 | MA | MD | Professional Counselor |
| 002148 | CT | MD | Social Worker |
| 8472 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1194843078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 SALISBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091308",
"telephone_number": "617-952-2945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 SALISBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091308",
"telephone_number": "617-952-2945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONNER",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "8472",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "8972",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "002148",
"primary": false
}
],
"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 Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.