Individual provider Active NPI

Gracan Marguerite Montpetit

  • Professional Counselor
  • Haverhill, MA
National Provider Identifier
1609021328
Registry record updated Sep 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7997 Issued in MA
Practice address
6 Magnavista Dr
Haverhill, MA 01830-2293
Phone
(540) 797-9333
NPI assigned
Nov 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 7997 MA Primary

Addresses

Primary practice location

6 Magnavista Dr
Haverhill, MA 01830-2293

Mailing address

6 Magnavista Dr
Haverhill, MA 01830-2293
Phone (540) 797-9333

Other names 1

  • Gracan Marguerite Lemon Other name

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

LicenseStateTypeSpecialty
7997MAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442707200000",
    "number": "1609021328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MAGNAVISTA DR",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302293",
            "telephone_number": "540-797-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MAGNAVISTA DR",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302293",
            "telephone_number": "540-797-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTPETIT",
        "first_name": "GRACAN",
        "middle_name": "MARGUERITE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2015-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "7997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACAN",
            "last_name": "LEMON",
            "middle_name": "MARGUERITE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; 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.