Active NPI
North Shore Counseling Center Inc
- Counselor
- Beverly, MA
National Provider Identifier
1023187366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- NORTH SHORE COUNSELING CENTER INC
- Practice address
- 100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107 - Phone
- (978) 922-2280
- Fax
- (978) 927-1758
- NPI assigned
- Nov 8, 2006
- Last updated
- Apr 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey D Cilcus
- Title
- President
- Phone
- (978) 922-2280
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | |||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | MA | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107
Mailing address
100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107
Phone (978) 922-2280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
23 Broadway
Beverly, MA 01915
Phone (978) 922-2280
900 Cummings Ctr
Ste 324S
Beverly, MA 01915
Phone 9789222280 ext. 328
Practitioners & affiliated clinicians
Practitioners 74
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Beverly, MA
- NPI 1689132672
-
- Clinical Social Worker
- Marblehead, MA
- NPI 1255479648
-
- Counselor
- Beverly, MA
- NPI 1831670751
-
- Mental Health Counselor
- Beverly, MA
- NPI 1952061046
-
- Mental Health Counselor
- Marblehead, MA
- NPI 1346981768
-
- Mental Health Counselor
- Beverly, MA
- NPI 1043942352
-
- Mental Health Counselor
- Lawrence, MA
- NPI 1104599935
-
- Psychiatry Physician
- Peabody, MA
- NPI 1962565135
-
- Clinical Social Worker
- Beverly, MA
- NPI 1609500453
-
- Clinical Social Worker
- Salem, MA
- NPI 1881748069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1023187366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 307E",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156107",
"telephone_number": "978-922-2280",
"fax_number": "978-927-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 307E",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156107",
"telephone_number": "978-922-2280",
"fax_number": "978-927-1758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE COUNSELING CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "CILCUS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-922-2280"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.