Active NPI
Nancy A Docktor, RN,MS,CS
- Mental Health Counselor
- Danvers, MA
National Provider Identifier
1952412348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 153462
- Practice address
- 85 Constitution LN
Suite 3C
Danvers, MA 01923-3694 - Phone
- (978) 777-3899
- NPI assigned
- Aug 31, 2006
- 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 | 153462 | MA | Primary |
Addresses
Primary practice location
85 Constitution LN
Suite 3C
Danvers, MA 01923-3694
Mailing address
371 Pearl St
Reading, MA 01867-1356
Phone (781) 944-8429
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040105000792 | MA | Practitioner - Certified Clinical Nurse Specialist (CNS) | 9436058831 | Practice locations: Danvers, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
85 Constitution LN
Danvers, MA 01923-3694
Phone (978) 777-3899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153462 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952412348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 PEARL ST",
"city": "READING",
"state": "MA",
"postal_code": "018671356",
"telephone_number": "781-944-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 CONSTITUTION LN",
"address_2": "SUITE 3C",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233694",
"telephone_number": "978-777-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKTOR",
"first_name": "NANCY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "RN,MS,CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "153462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.