Gregory Beaudoin
Individual provider Active NPI Mental Health Counselor · Gardner, MA
NPI 1861815896 · NPPES record last updated Jan 27, 2014
Key facts
- NPI
- 1861815896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 205 School St
Gardner, MA 01440-2781 - Phone
- (978) 632-2321
- NPI assigned
- Jan 27, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Opportunites Uphelp, Inc. | Past | Accepting new patients | |
| Youth Opportunities Upheld, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/youinc/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
205 School St
Gardner, MA 01440-2781
Mailing address
205 School St
Gardner, MA 01440-2781
Other providers in Gardner, MA
- Tracey Ann Barrows
- Kaleigh Lynn Basta
- Melody Farrell Batista
- Kelly Ann Beaton
- Tracy Ann Beattie
- Crystal Beckwith-Ponce
- Victoria Lynn Belanger
- Kristy Crutchfield Belcher
- Leanne Belcher
- Robert Benedict
All providers in Gardner, 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 Jan 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.