Active NPI
Nancy Jill Stewart, LMHC, ATR
- Mental Health Counselor
- Walpole, MA
National Provider Identifier
1942420047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1476
- Practice address
- 445 Main St
Walpole, MA 02081-3749 - Phone
- (508) 668-3283
- NPI assigned
- Apr 30, 2007
- Sex
- Female
- 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 | 1476 | MA | Primary |
Addresses
Primary practice location
445 Main St
Walpole, MA 02081-3749
Mailing address
74 Bedford St
Waltham, MA 02453-3583
Phone (508) 498-1474
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 |
|---|---|---|---|
| 1476 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1942420047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 BEDFORD ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024533583",
"telephone_number": "508-498-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 MAIN ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020813749",
"telephone_number": "508-668-3283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "NANCY",
"middle_name": "JILL",
"name_prefix": "Ms.",
"credential": "LMHC, ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.