Individual provider Active NPI

William Adu-Boahen

  • Counselor
  • Worcester, MA
National Provider Identifier
1235542952
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
NOT YET Issued in MA
Practice address
38 Front St
5TH Floor
Worcester, MA 01608-1732
Phone
(508) 615-1236
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NOT YET MA Primary

Addresses

Primary practice location

38 Front St
5TH Floor
Worcester, MA 01608-1732

Mailing address

38 Front St
5TH Floor
Worcester, MA 01608-1732
Phone (508) 615-1236

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

LicenseStateTypeSpecialty
NOT YETMAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1235542952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 FRONT ST",
            "address_2": "5TH FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081732",
            "telephone_number": "508-615-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 FRONT ST",
            "address_2": "5TH FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081732",
            "telephone_number": "508-615-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU-BOAHEN",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "NOT YET",
            "primary": true
        }
    ],
    "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 Jun 10, 2014; 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.