Active NPI
Clara Wagner
- Mental Health Counselor
- Easthampton, MA
National Provider Identifier
1801419148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 179 Northampton St
Easthampton, MA 01027-1057 - Phone
- (413) 529-1764
- NPI assigned
- May 21, 2020
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
179 Northampton St
Easthampton, MA 01027-1057
Mailing address
123 N Main Street
Apartment a
South Deerfield, MA 01373
Phone (585) 455-4173
Other practice location 1
102 Main St
Greenfield, MA 01301-3275
Phone (413) 774-6252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
287 High St
Ofc 218
Holyoke, MA 01040-6597
Phone (585) 455-4173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dandelion Psychotherapy, LLC | Current | Accepting new patients |
Locations
287 High St
Ofc 218
Holyoke, MA 01040
Phone (585) 455-4173
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Holyoke, MA
- NPI 1780400978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1801419148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 N MAIN STREET",
"address_2": "APARTMENT A",
"city": "SOUTH DEERFIELD",
"state": "MA",
"postal_code": "01373",
"telephone_number": "585-455-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 NORTHAMPTON ST",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010271057",
"telephone_number": "413-529-1764"
}
],
"practiceLocations": [
{
"address_1": "102 Main St",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "MA",
"postal_code": "013013275",
"country_code": "US",
"telephone_number": "413-774-6252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAGNER",
"first_name": "CLARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-21",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easthampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.