Active NPI
Andre Guillemin
- Counselor
- Needham, MA
National Provider Identifier
1669022646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1968 Central Ave
Needham, MA 02492-1410 - Phone
- (617) 701-6073
- NPI assigned
- Sep 12, 2019
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
1968 Central Ave
Needham, MA 02492-1410
Mailing address
42 Lowell Rd
Brookline, MA 02445-6148
Phone (617) 701-6073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
431 Johnson St
North Andover, MA 01845-4721
Phone (978) 296-5595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Behavioral Care New England LLC | Counselor | Current | Accepting new patients |
| Gathering Tank | Current | Accepting new patients | |
| General Psychological Associates | Past | Accepting new patients | |
| Family Counseling Associates of Salem Andover LLC | Past | Accepting new patients |
Locations
3 Dundee Park Dr
Ste 203
Andover, MA 01810
Phone (978) 296-5595
Organizations & group practices 4
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.
-
- Counselor
- North Andover, MA
- NPI 1053185272
-
- Clinical Social Worker
- Brookline, MA
- NPI 1225852072
-
- Mental Health Counselor
- Andover, MA
- NPI 1013246602
-
- Counseling Psychologist
- Andover, MA
- NPI 1700810025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1669022646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 LOWELL RD",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456148",
"telephone_number": "617-701-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 CENTRAL AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024921410",
"telephone_number": "617-701-6073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLEMIN",
"first_name": "ANDRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-12",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.