Healthcare Provider Details

I. General information

NPI: 1932029162
Provider Name (Legal Business Name): JOHN BARRON MS, CRC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 BROADWAY STE 575
CAMBRIDGE MA
02139-2161
US

IV. Provider business mailing address

2427 WINBURN AVE
DURHAM NC
27704-5145
US

V. Phone/Fax

Practice location:
  • Phone: 617-468-4638
  • Fax:
Mailing address:
  • Phone: 949-433-9403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: