Active NPI
John D Menard, LMHC
- Counselor
- Ware, MA
National Provider Identifier
1740245315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4914
- Practice address
- 89 Main St Ste 2
Ware, MA 01082-1482 - Phone
- (413) 297-6968
- Fax
- (413) 297-6968
- NPI assigned
- Apr 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | |||
| Counselor | 101Y00000X | 4914 | MA | Primary |
Addresses
Primary practice location
89 Main St Ste 2
Ware, MA 01082-1482
Mailing address
89 Ward St
Apt 2
Worcester, MA 01610
Phone (508) 754-2923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740245315 | Other | MA | LMHC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | 4132770728 |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4914 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1740245315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 WARD ST",
"address_2": "APT 2",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01610",
"telephone_number": "508-754-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 MAIN ST STE 2",
"city": "WARE",
"state": "MA",
"postal_code": "010821482",
"telephone_number": "413-297-6968",
"fax_number": "413-297-6968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENARD",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "4914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "1740245315",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "4132770728",
"affiliation": "N",
"address_1": "89 Main St Ste 2",
"city": "Ware",
"state": "MA",
"country_code": "US",
"postal_code": "010821482",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ware, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.