Individual provider Active NPI

Mary McCann, LAC

  • Mental Health Counselor
  • Highland Park, NJ
National Provider Identifier
1043788607
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00320000 Issued in NJ
Practice address
1001 Raritan Ave
Highland Park, NJ 08904-3667
Phone
(732) 227-0070
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00320000 NJ Primary

Addresses

Primary practice location

1001 Raritan Ave
Highland Park, NJ 08904-3667

Mailing address

1001 Raritan Ave
Highland Park, NJ 08904-3667
Phone (732) 227-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214000066 NJ Practitioner - Mental Health Counselor 2567806995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Therapy Institute New JerseyGroup PAC ID 8921316605, 12 clinicians

Practice addresses (Care Compare)

400 New Durham Rd
Metuchen, NJ 08840-2455
Phone (732) 902-2181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00320000NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapy Institute New Jersey CurrentSince Feb 4, 2024 Accepting new patients

Locations

400 New Durham Rd
Metuchen, NJ 08840
Phone (732) 482-9829

312 Amboy Ave
Ste 2
Metuchen, NJ 08840
Phone (848) 219-2874

206 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (732) 902-2182

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1043788607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 RARITAN AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089043667",
            "telephone_number": "732-227-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 RARITAN AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089043667",
            "telephone_number": "732-227-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "MARY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00320000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.