| Ethan Sherrerd Wattley, LMHC | |
|
351 Pleasant St, Ste B #172, Northampton, MA 01060 | |
| (802) 495-9853 | |
| Not Available |
| Full Name | Ethan Sherrerd Wattley |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 351 Pleasant St, Northampton, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194492611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4737 (Connecticut) | Secondary |
| 101YM0800X | Counselor - Mental Health | 097.0134209 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Positive Directions - The Center For Prevention And Counseling Inc | 6406109800 | 6 |
| Entity Name | Positive Directions - The Center For Prevention And Counseling Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043455066 PECOS PAC ID: 6406109800 Enrollment ID: O20181101001956 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Sherrerd Wattley, LMHC 351 Pleasant St, Ste B #172, Northampton, MA 01060 Ph: (802) 495-9853 | Ethan Sherrerd Wattley, LMHC 351 Pleasant St, Ste B #172, Northampton, MA 01060 Ph: (802) 495-9853 |
Sharon Kozuch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 King St, Northampton, MA 01060 Phone: 413-586-5555 | |
Bernadette St George, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Atwood Dr, 376 Pleasant Street, Northampton, MA 01060 Phone: 413-923-4368 | |
Matthew P Kelly, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Jackson St, Northampton, MA 01060 Phone: 215-565-5671 | |
Emily Benander, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Atwood Dr, Northampton, MA 01060 Phone: 413-586-5555 | |
Ms. Sandra Leah Berchulski, MA LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Conz St, Northampton, MA 01060 Phone: 413-320-5638 | |
Karissa Allyn Rigali, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Atwood Dr, Suite 301, Northampton, MA 01060 Phone: 413-523-3653 | |
Ricky Jermaine Logan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 North King Street, Northampton, MA 01060 Phone: 413-585-1300 |