Active NPI
Adam H Wannie, LMHC
- Mental Health Counselor
- West Yarmouth, MA
National Provider Identifier
1508040767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5032
- Practice address
- 572 Main Street
Suite 3
West Yarmouth, MA 02673-4909 - Phone
- (508) 340-0847
- Fax
- (508) 790-8301
- NPI assigned
- Dec 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 5032 | MA | Primary |
Addresses
Primary practice location
572 Main Street
Suite 3
West Yarmouth, MA 02673-4909
Mailing address
142 Hollow Run Drive
Centerville, MA 02632
Phone (508) 340-0847
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 |
|---|---|---|---|
| 5032 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DBT Skills Center, PC | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- West Yarmouth, MA
- NPI 1407019805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1508040767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 HOLLOW RUN DRIVE",
"city": "CENTERVILLE",
"state": "MA",
"postal_code": "02632",
"telephone_number": "508-340-0847",
"fax_number": "508-437-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 MAIN STREET",
"address_2": "SUITE 3",
"city": "WEST YARMOUTH",
"state": "MA",
"postal_code": "026734909",
"telephone_number": "508-340-0847",
"fax_number": "508-790-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANNIE",
"first_name": "ADAM",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Yarmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.