NPIMap

Organization Active NPI

Family Counseling Associates of Salem Andover LLC

  • Mental Health Counselor
  • Andover, MA
National Provider Identifier
1013246602
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW 114188 Issued in MA
Legal business name
FAMILY COUNSELING ASSOCIATES OF SALEM ANDOVER LLC
Practice address
12 Essex St
Suite 4
Andover, MA 01810-3728
Phone
(978) 886-2359
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Elisabeth Pesce
Title
Secretary
Phone
(904) 605-4986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X SW 114188 MA Primary

Addresses

Primary practice location

12 Essex St
Suite 4
Andover, MA 01810-3728

Mailing address

12 Essex St
Suite 4
Andover, MA 01810-3728
Phone (978) 886-2359

National Provider Directory

National Provider Directory

Locations

140 Wood Rd
Ste 206
Braintree, MA 02184

4 Mount Royal Ave
Ste 110
Marlborough, MA 01752

4 Mount Royal Ave
Ste 360
Marlborough, MA 01752
Phone (508) 410-4221

25 S River Rd
Ste 307
Bedford, NH 03110
Phone (603) 242-2296

360 Route 101
Ste 12B
Bedford, NH 03110
Phone (603) 242-2296

1 Tara Blvd
Ste 2006123
Nashua, NH 03062

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1013246602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ESSEX ST",
            "address_2": "SUITE 4",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103728",
            "telephone_number": "978-886-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ESSEX ST",
            "address_2": "SUITE 4",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103728",
            "telephone_number": "978-886-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING ASSOCIATES OF SALEM ANDOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "904-605-4986"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "SW 114188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.