Active NPI
Harold Jerry Mizner, HAROLD MIZNER
- Professional Counselor
- Swansea, MA
National Provider Identifier
1669514170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6229
- Practice address
- 135 New Meadow Rd
Swansea, MA 02777-3347 - Phone
- (508) 379-0780
- NPI assigned
- Feb 12, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6229 | MA | Primary |
Addresses
Primary practice location
135 New Meadow Rd
Swansea, MA 02777-3347
Mailing address
52 Winthrop St
Seekonk, MA 02771-3723
Phone (508) 336-3717
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6229 | MA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669514170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 WINTHROP ST",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027713723",
"telephone_number": "508-336-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 NEW MEADOW RD",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027773347",
"telephone_number": "508-379-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZNER",
"first_name": "HAROLD",
"middle_name": "JERRY",
"name_prefix": "Mr.",
"credential": "HAROLD MIZNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "6229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.