Active NPI
William Nall, LMHC
- Mental Health Counselor
- Worcester, MA
National Provider Identifier
1861169765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12375
- Practice address
- 16 Pineland Ave
Worcester, MA 01604-1471 - Phone
- (774) 312-6588
- NPI assigned
- Aug 27, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12375 | MA | Primary |
Addresses
Primary practice location
16 Pineland Ave
Worcester, MA 01604-1471
Mailing address
16 Pineland Ave
Worcester, MA 01604-1471
Phone (774) 312-6588
Other practice location 1
4 Mann St
Worcester, MA 01602-3414
Phone (508) 755-0333
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 |
|---|---|---|---|
| 12375 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1861169765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PINELAND AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041471",
"telephone_number": "774-312-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 PINELAND AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041471",
"telephone_number": "774-312-6588"
}
],
"practiceLocations": [
{
"address_1": "4 Mann St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016023414",
"country_code": "US",
"telephone_number": "508-755-0333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NALL",
"first_name": "WILLIAM",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-27",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "12375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.