Broad Meadow Cooperative LLC
NPI 1760178453ActiveOrganization· Counselor, Mental Health· Andover, MA
Counselor, Mental Health in Andover, Massachusetts, registered in NPPES in April 2023. The authorized official on file is Bradley Thomas Eardley, LMFT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760178453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 14, 2023 |
| Last updated in NPPES | Apr 14, 2023 |
| Certified by provider | Apr 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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