Active NPIIndividual providerSole proprietor

Mary P Mccusker, MED, LMHC

Counselor, Mental Health in Jamaica Plain, Massachusetts

NPI Number1730301680
Practice location
1155 Centre St, Jamaica Plain, MA 02130-3432
Fax
617-983-4658
Last updated
July 8, 2007

Mary P. Mccusker is a Counselor, Mental Health based in Jamaica Plain, MA. Mary P. Mccusker practices in Jamaica Plain, MA and has the professional credentials of MED, LMHC. The NPI Number for Mary P. Mccusker is 1730301680 and holds a License No. 1964 (MA). The current practice location address for Mary P. Mccusker is 1155 Centre St, Jamaica Plain, MA 02130-3432 and can be reached out via phone at 617-983-7639 and via fax at 617-983-4658.

Provider Profile Details

NPI Number
1730301680
Provider Name
Mary P. Mccusker
Credential
MED, LMHC
Provider Entity Type
Individual
Gender
Female
Address
1155 Centre St, Jamaica Plain, MA 02130-3432
Phone Number
617-983-7639
Fax Number
617-983-4658
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
May 2, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1155 Centre St
Jamaica Plain, MA 02130-3432
Zip
02130-3432
Phone Number
617-983-7639
Fax Number
617-983-4658
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
16 Ashfield St
Roslindale, MA 02131-1604
City
Roslindale
State
MA
Zip
02131-1604
Phone Number
617-504-0488
Fax Number
617-983-4658

License Information

License Number
1964
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary P Mccusker, MED, LMHC?

The NPI number of Mary P Mccusker, MED, LMHC is 1730301680. It was assigned on May 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Mary P Mccusker, MED, LMHC?

Mary P Mccusker, MED, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 1964.

Where does Mary P Mccusker, MED, LMHC practice?

The practice location is 1155 Centre St, Jamaica Plain, MA 02130-3432. The office can be reached at 617-983-7639 (phone) or 617-983-4658 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730301680 directly on the NPPES registry website.

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