Individual provider Active NPI

Willard M Daggett III, M.ED.

  • Counselor
  • Leominster, MA
National Provider Identifier
1528394111
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
15 Monument SQ Ste 200
Leominster, MA 01453-5711
Phone
(508) 277-5158
Fax
(508) 267-0096
NPI assigned
Nov 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

15 Monument SQ Ste 200
Leominster, MA 01453-5711

Mailing address

305 Goodale St
West Boylston, MA 01583-1011
Phone (508) 835-0901

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Setter'S Field LLC CurrentSince Jul 10, 2022 Accepting new patients

Locations

15 Monument Sq
Ste 200
Leominster, MA 01453
Phone (508) 284-2410

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": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1528394111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 GOODALE ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831011",
            "telephone_number": "508-835-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MONUMENT SQ STE 200",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535711",
            "telephone_number": "508-277-5158",
            "fax_number": "508-267-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "WILLARD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.