Individual provider Active NPI

Jeanne M Gilchrest, PHD, LMHC

  • Counselor
  • North Chelmsford, MA
National Provider Identifier
1225012487
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5797 Issued in MA
Practice address
73 Princeton St Ste 314
North Chelmsford, MA 01863-1559
Phone
(978) 828-2206
Fax
(978) 256-1943
NPI assigned
Dec 1, 2005
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5797 MA Primary

Addresses

Primary practice location

73 Princeton St Ste 314
North Chelmsford, MA 01863-1559

Mailing address

9 Acton Rd
Suite 25
Chelmsford, MA 01824-3498
Phone (978) 256-6579

Other identifiers 1

IdentifierTypeStateIssuer
LM1166OtherMABCBSMA

Other names 1

  • Jeanne M Fugere Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5797MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lowell Psychiatric Associates, LLC 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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1225012487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ACTON RD",
            "address_2": "SUITE 25",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243498",
            "telephone_number": "978-256-6579",
            "fax_number": "978-256-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST STE 314",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631559",
            "telephone_number": "978-828-2206",
            "fax_number": "978-256-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCHREST",
        "first_name": "JEANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "5797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "LM1166",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "FUGERE",
            "middle_name": "M",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.