John Hallock, M.A.
Individual provider Active NPI Mental Health Counselor · Hadley, MA
NPI 1861940751 · NPPES record last updated Apr 3, 2019
Key facts
- NPI
- 1861940751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 10913 (MA)
- Practice address
- 95 Mount Warner Rd
Hadley, MA 01035-9699 - Phone
- (314) 549-8874
- NPI assigned
- Sep 20, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Servicenet Inc
Practice addresses (Care Compare)
55 Federal St
Greenfield, MA 01301-2546
Phone (413) 772-2935
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 |
|---|---|---|---|---|
| I20240105000217 | MA | Practitioner - Mental Health Counselor | 3971954843 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Servicenet Inc | Current |
Accepting new patients |
Locations
400 Amity St
Amherst, MA 01002
Phone (413) 549-0095
55 Federal St
Greenfield, MA 01301
Phone (413) 772-2935
21 Olander Dr
Northampton, MA 01060
Phone (413) 442-4003
50 Pleasant St
Northampton, MA 01060
Phone (413) 585-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10913 | MA | Yes |
Addresses
Primary practice location
95 Mount Warner Rd
Hadley, MA 01035-9699
Mailing address
95 Mount Warner Rd
Hadley, MA 01035-9699
Phone (314) 549-8874
Other providers in Hadley, MA
- David Griggs
- Jessica Guyer
- Hadley Center LLC
- Hadley Dental Care LLC
- Hadley Speech Therapy, LLC
- Hampshire Meadow Family & Pediatric Dentistry
- Hampshire Meadow Orthodontics
- Hampshire Neurology LLC
- Stephanie Lynn Hanley
- Cheryl Diane Harrell
All providers in Hadley, 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 Apr 3, 2019. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.