Individual provider Active NPI

John Louis Sannicandro, LMHC

  • Mental Health Counselor
  • Natick, MA
National Provider Identifier
1497814453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5037 Issued in MA
Practice address
20 Main St
Suite 300
Natick, MA 01760-4525
Phone
(508) 259-2078
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5037 MA Primary

Addresses

Primary practice location

20 Main St
Suite 300
Natick, MA 01760-4525

Mailing address

22 Long Ave
Framingham, MA 01702-5736
Phone (508) 875-7419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240118000616 NH Practitioner - Mental Health Counselor 4587016258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maps Counseling Services IncGroup PAC ID 8628061660, 13 clinicians

Practice addresses (Care Compare)

23 Central SQ
Suite 300
Keene, NH 03431-3707
Phone (603) 355-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5037MAMDMental Health Counselor

Organizations & group practices 1

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497814453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LONG AVE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025736",
            "telephone_number": "508-875-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "address_2": "SUITE 300",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604525",
            "telephone_number": "508-259-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNICANDRO",
        "first_name": "JOHN",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.