Active NPI
North Star Counseling LLC
- Clinical Social Worker
- Newburyport, MA
National Provider Identifier
1750394219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1023367
- Legal business name
- NORTH STAR COUNSELING LLC
- Practice address
- 37 1/2 Forrester St
Professional Building
Newburyport, MA 01950-1938 - Phone
- (978) 465-5033
- Fax
- (978) 465-5034
- NPI assigned
- Aug 15, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Gantman, LICSW
- Title
- Chief Operating Officer
- Phone
- (978) 465-5033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1023367 | MA | Primary |
Addresses
Primary practice location
37 1/2 Forrester St
Professional Building
Newburyport, MA 01950-1938
Mailing address
PO Box 276
Newburyport, MA 01950-0376
Phone (978) 465-5033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P10379 | Other | MA | BCBSMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10 Prince Pl
Ste 107
Newburyport, MA 01950
Phone (978) 465-5033
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Newburyport, MA
- NPI 1780624924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750394219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019500376",
"telephone_number": "978-465-5033",
"fax_number": "978-465-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 1/2 FORRESTER ST",
"address_2": "PROFESSIONAL BUILDING",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019501938",
"telephone_number": "978-465-5033",
"fax_number": "978-465-5034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH STAR COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GANTMAN",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "978-465-5033",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1023367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "P10379",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburyport, MA
- Leith Nippes, L.AC.
- Noa Diagnostics of Ma LLC
- Noa Diagnostics of Ma LLC
- Lisa D Noel
- Norma Colletta
- Northeast Cardiology and Cardiac Electrophysiology, LLC
- Northeast Dermatology Associates
- Northeast Radiology Associates, LLP
- Danielle Noyes, OTR/L
- NSL Brigham LLC (Brigham Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.