Individual provider Active NPI

Joseph Matthew Macura

  • Mental Health Counselor
  • Rutland, VT
National Provider Identifier
1427391440
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005434 Issued in NY
Practice address
162 N Main St Ste 5
Stoney Brook Plaza
Rutland, VT 05701-3024
Phone
(866) 639-9573
NPI assigned
Mar 27, 2013
Last updated
Mar 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005434 NY Primary

Addresses

Primary practice location

162 N Main St Ste 5
Stoney Brook Plaza
Rutland, VT 05701-3024

Mailing address

162 N Main St Ste 5
Stoney Brook Plaza
Rutland, VT 05701-3024
Phone (866) 639-9573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005434NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1427391440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 N MAIN ST STE 5",
            "address_2": "STONEY BROOK PLAZA",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013024",
            "telephone_number": "866-639-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 N MAIN ST STE 5",
            "address_2": "STONEY BROOK PLAZA",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013024",
            "telephone_number": "866-639-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACURA",
        "first_name": "JOSEPH",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.