Edward Micu, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

One Village Square
14-16 Fletcher Street - Suite 5
Chelmsford, MA 01824-2713

Phone

(978) 201-3377

Fax

(530) 466-3377

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1013115278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE VILLAGE SQUARE",
            "address_2": "14-16 FLETCHER STREET - SUITE 5",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242713",
            "telephone_number": "978-201-3377",
            "fax_number": "530-466-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE VILLAGE SQUARE",
            "address_2": "14-16 FLETCHER STREET - SUITE 5",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242713",
            "telephone_number": "978-201-3377",
            "fax_number": "530-466-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICU",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.