Individual provider Active NPI

Glenn M Meunier, LICSW

  • Counselor
  • Halifax, MA
National Provider Identifier
1912204686
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
115926 Issued in MA
Practice address
430 Plymouth St
Suite 100
Halifax, MA 02338-1342
Phone
(781) 422-2900
Fax
(781) 422-2905
NPI assigned
Feb 16, 2011
Last updated
Mar 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 115926 MA Primary

Addresses

Primary practice location

430 Plymouth St
Suite 100
Halifax, MA 02338-1342

Mailing address

362 N Bedford St
East Bridgewater, MA 02333-1148
Phone (508) 350-2450

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110630000025 MA Practitioner - Clinical Social Worker 9133307705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Coastal Wellness LLCGroup PAC ID 5698036622, 2 clinicians

Practice addresses (Care Compare)

105 Webster St
Suite 5
Hanover, MA 02339-1227
Phone (781) 421-6025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115926MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Coastal Wellness LLC CurrentSince Aug 30, 2017 Accepting new patients
Compass Medical PC Past Accepting new patients

Locations

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

430 Plymouth St
Ste 100
Halifax, MA 02338
Phone (781) 422-2900

105 Webster St
Ste 5
Hanover, MA 02339
Phone (508) 353-9602

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

21 Bristol Dr
Ste 200
South Easton, MA 02375
Phone (508) 565-7300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1912204686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331148",
            "telephone_number": "508-350-2450",
            "fax_number": "508-350-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PLYMOUTH ST",
            "address_2": "SUITE 100",
            "city": "HALIFAX",
            "state": "MA",
            "postal_code": "023381342",
            "telephone_number": "781-422-2900",
            "fax_number": "781-422-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUNIER",
        "first_name": "GLENN",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "115926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halifax, MA

Sources for this page

Verify at the official NPI Registry.