Individual provider Active NPI

James M. Geckler, PHD, LMHC

  • Mental Health Counselor
  • Pawtucket, RI
National Provider Identifier
1578874020
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00562 Issued in RI
Practice address
750 East Ave Unit 2E
Pawtucket, RI 02860-6259
Phone
(401) 400-0966
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X MHC00562 RI Primary

Addresses

Primary practice location

750 East Ave Unit 2E
Pawtucket, RI 02860-6259

Mailing address

55 Lennon St
Providence, RI 02908-1913
Phone (508) 971-7795

Other practice location 1

543 North St
New Bedford, MA 02740-2766
Phone (508) 996-3154

Other practice location 2

4400 N High St Ste 417
Columbus, OH 43214-2635
Phone (508) 971-7795

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MHC00562RIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1578874020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LENNON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029081913",
            "telephone_number": "508-971-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EAST AVE UNIT 2E",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606259",
            "telephone_number": "401-400-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 North St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027402766",
            "country_code": "US",
            "telephone_number": "508-996-3154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 N High St Ste 417",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432142635",
            "country_code": "US",
            "telephone_number": "508-971-7795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GECKLER",
        "first_name": "JAMES",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.