Joshua Nathan Eigen
Individual provider Active NPI Mental Health Counselor · Ipswich, MA
NPI 1801927348 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801927348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 25 R Market St.
Ipswich, MA 01938-2211 - Phone
- (978) 356-1776
- Fax
- (978) 356-2822
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171024000020 | MA | Practitioner - Clinical Social Worker | 6901172717 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eliot Community Human Services | Current | Accepting new patients | |
| Eliot Community Human Services | Current |
Accepting new patients | |
| Northeast Hospital Corporation | Past | Accepting new patients | |
| Northeast Behavioral Health Corporation | Past | Accepting new patients |
Locations
173 Chelsea St
Everett, MA 02149
Phone (617) 397-2020
125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
25 R Market St.
Ipswich, MA 01938-2211
Mailing address
25 R Market St.
Ipswich, MA 01938-2211
Phone (978) 356-1776
Other providers in Ipswich, MA
- Doyles Corner Drug Inc
- Dr. Michael J. Riccio
- Dina Dressler
- Deborah Dubowy
- Lindsey Eid de Bloise
- Elisabeth R Warner
- Jordan Kane Elliott
- Suzanne Beth Emmi
- Noah Jacob Erikson
- Curtis P Ersing
All providers in Ipswich, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.