Individual provider Active NPI

Andra Corinne Munger, PH.D., MA, MFT

  • Marriage & Family Therapist
  • Greenfield, MA
National Provider Identifier
1467991430
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1820 Issued in MA
Practice address
489 Bernardston Rd
Greenfield, MA 01301-1238
Phone
(413) 439-2124
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 1820 MA Primary

Addresses

Primary practice location

489 Bernardston Rd
Greenfield, MA 01301-1238

Mailing address

489 Bernardston Rd
Greenfield, MA 01301-1238
Phone (413) 439-2124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624000759 MA Practitioner - Marriage and Family Therapist 1850834466 Reassigns benefits to 1 organization
Practice locations: Concord, MA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

102 Main St
Suite 2
Greenfield, MA 01301-3275
Phone (413) 774-6252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc. Marriage & Family Therapist CurrentSince Mar 25, 2024 Accepting new patients
Center for Human Development, Inc CurrentSince Mar 25, 2024 Accepting new patients

Locations

102 Main St
Ste 2
Greenfield, MA 01301
Phone (413) 262-0193

489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571

102 Main St
Greenfield, MA 01301
Phone (413) 325-8500

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1467991430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 BERNARDSTON RD",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011238",
            "telephone_number": "413-439-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 BERNARDSTON RD",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011238",
            "telephone_number": "413-439-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGER",
        "first_name": "ANDRA",
        "middle_name": "CORINNE",
        "credential": "PH.D., MA, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.