Active NPI
Sqire Paige
- Mental Health Counselor
- Canton, MA
National Provider Identifier
1295031557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6168
- Practice address
- 340 Turnpike St
Canton, MA 02021-2700 - Phone
- (781) 619-1500
- Fax
- (781) 619-1509
- NPI assigned
- Feb 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6168 | MA | Primary |
Addresses
Primary practice location
340 Turnpike St
Canton, MA 02021-2700
Mailing address
340 Turnpike St
Canton, MA 02021-2700
Phone (781) 619-1500
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 |
|---|---|---|---|
| 6168 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1295031557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 TURNPIKE ST",
"city": "CANTON",
"state": "MA",
"postal_code": "020212700",
"telephone_number": "781-619-1500",
"fax_number": "781-619-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 TURNPIKE ST",
"city": "CANTON",
"state": "MA",
"postal_code": "020212700",
"telephone_number": "781-619-1500",
"fax_number": "781-619-1509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIGE",
"first_name": "SQIRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-04",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.