Individual provider Active NPI

Heather Kate Escandel, LMHC

  • Mental Health Counselor
  • Centerville, MA
National Provider Identifier
1265769970
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7526 Issued in MA
Practice address
58 Taramac Rd
Centerville, MA 02632-2722
Phone
(774) 251-9869
NPI assigned
Nov 17, 2009
Last updated
Nov 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X 7526 MA Primary

Addresses

Primary practice location

58 Taramac Rd
Centerville, MA 02632-2722

Mailing address

PO Box 553
Centerville, MA 02632-0553
Phone (508) 561-1126

Other practice location 1

221 Willow St
Yarmouth Port, MA 02675-1770
Phone (508) 771-2402

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
7526MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1265769970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 553",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026320553",
            "telephone_number": "508-561-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 TARAMAC RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322722",
            "telephone_number": "774-251-9869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Willow St",
            "address_purpose": "LOCATION",
            "city": "Yarmouth Port",
            "state": "MA",
            "postal_code": "026751770",
            "country_code": "US",
            "telephone_number": "508-771-2402",
            "fax_number": "508-771-3287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCANDEL",
        "first_name": "HEATHER",
        "middle_name": "KATE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.