Active NPI
Edmond P. Talbot, L.A.D.C.-1
- Addiction (Substance Use Disorder) Counselor
- Mattapoisett, MA
National Provider Identifier
1760501514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1421
- Practice address
- 161 North St
Mattapoisett, MA 02739-1242 - Phone
- (508) 542-1959
- NPI assigned
- Mar 29, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1421 | MA | Primary |
Addresses
Primary practice location
161 North St
Mattapoisett, MA 02739-1242
Mailing address
161 North St
Mattapoisett, MA 02739-1242
Phone (508) 542-1959
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 |
|---|---|---|---|
| 1421 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760501514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 NORTH ST",
"city": "MATTAPOISETT",
"state": "MA",
"postal_code": "027391242",
"telephone_number": "508-542-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 NORTH ST",
"city": "MATTAPOISETT",
"state": "MA",
"postal_code": "027391242",
"telephone_number": "508-542-1959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBOT",
"first_name": "EDMOND",
"middle_name": "P.",
"credential": "L.A.D.C.-1",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattapoisett, MA
- Mary E Soares, LIC. AC.
- Southcoast Education & Wellness Counseling, LLC
- Southcoast Primary Care Inc
- Stefanie Lyn Spach, M.S., CCC-SLP
- Jeffrey Gerald Swift, DC DABCN
- Patricia A. Tocci, LICSW08
- Town of Mattapoisett
- Town of Mattapoisett (Mattapoisett Police EMS)
- Trauma Healing Support LLC
- Tri-Town Counseling, LLC
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.