Active NPI
John Thomas McInnis, LADC LEVEL I
- Addiction (Substance Use Disorder) Counselor
- E Sandwich, MA
National Provider Identifier
1508044488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1126
- Practice address
- 36 Wolf Hill
E Sandwich, MA 02537 - Phone
- (508) 888-1279
- NPI assigned
- Feb 4, 2008
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1126 | ME | Primary |
Addresses
Primary practice location
36 Wolf Hill
E Sandwich, MA 02537
Mailing address
36 Wolf Hill
PO Box 500
E Sandwich, MA 02537
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 |
|---|---|---|---|
| 1126 | ME | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1508044488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 WOLF HILL",
"address_2": "PO BOX 500",
"city": "E SANDWICH",
"state": "MA",
"postal_code": "02537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WOLF HILL",
"city": "E SANDWICH",
"state": "MA",
"postal_code": "02537",
"telephone_number": "508-888-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINNIS",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LADC LEVEL I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "1126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in E Sandwich, MA
- Scott Lawrence Abramson, MD
- East Sandwich Physician Associates
- Mara S Evans, M.S., M.ED
- Kathleen Fennell
- MLB Mobility Inc (Totally Mobile)
- Jill Kathleen O'Brien, LICSW
- Rehabilitation Hospital of the Cape and Islands, Corporation (Spaulding Rehabilitation Hospital - Cape Cod)
- Scott Abramson MD
- Sherri Tupper MD LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.