Active NPI
Paul Cyr Charette, M.ED, C.A.G.S., LMHC
- Mental Health Counselor
- Haverhill, MA
National Provider Identifier
1730237587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7207
- Practice address
- 60 Merrimack St
Haverhill, MA 01830-6207 - Phone
- (978) 373-1126
- Fax
- (978) 373-6363
- NPI assigned
- Jan 8, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7207 | MA | Primary |
Addresses
Primary practice location
60 Merrimack St
Haverhill, MA 01830-6207
Mailing address
60 Merrimack St
Haverhill, MA 01830-6207
Phone (978) 373-1126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1312294 | 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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7207 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1730237587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MERRIMACK ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018306207",
"telephone_number": "978-373-1126",
"fax_number": "978-373-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MERRIMACK ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018306207",
"telephone_number": "978-373-1126",
"fax_number": "978-373-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARETTE",
"first_name": "PAUL",
"middle_name": "CYR",
"name_prefix": "Mr.",
"credential": "M.ED, C.A.G.S., LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "7207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1312294",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}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 Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.