Active NPI
Nicole Haggerty, LMHC
- Counselor
- South Boston, MA
National Provider Identifier
1629236856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 664 Dorchester Ave
South Boston, MA 02127-3537 - Phone
- (617) 524-4620
- NPI assigned
- May 23, 2008
- Last updated
- Feb 20, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
664 Dorchester Ave
South Boston, MA 02127-3537
Mailing address
120 High Plain Rd
Andover, MA 01810-3330
Phone (036) 548-7626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301420 | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1629236856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HIGH PLAIN RD",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103330",
"telephone_number": "036-548-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 DORCHESTER AVE",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "021273537",
"telephone_number": "617-524-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGERTY",
"first_name": "NICOLE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1301420",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.