Active NPI
William Harlan, MED, LMHC
- Mental Health Counselor
- Winchester, MA
National Provider Identifier
1619183803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7065
- Practice address
- 10 Converse PL
Third Floor
Winchester, MA 01890-2713 - Phone
- (617) 237-0473
- Fax
- (617) 250-8880
- NPI assigned
- May 15, 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 | 7065 | MA | Primary |
Addresses
Primary practice location
10 Converse PL
Third Floor
Winchester, MA 01890-2713
Mailing address
20 Hancock St
Medford, MA 02155-5610
Phone (617) 237-0473
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7065 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369440000000",
"number": "1619183803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HANCOCK ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021555610",
"telephone_number": "617-237-0473",
"fax_number": "617-250-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CONVERSE PL",
"address_2": "THIRD FLOOR",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018902713",
"telephone_number": "617-237-0473",
"fax_number": "617-250-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLAN",
"first_name": "WILLIAM",
"credential": "MED, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2013-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "7065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.