Individual provider Active NPI

Patricia J Stewart, MED LMHC

  • Professional Counselor
  • Beverly, MA
National Provider Identifier
1104884758
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5980 Issued in MA
Practice address
100 Cummings Ctr Ste 207P
Beverly, MA 01915-6104
Phone
(603) 767-7144
Fax
(978) 388-3342
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5980 MA Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 207P
Beverly, MA 01915-6104

Mailing address

100 Cummings Ctr Ste 207P
Beverly, MA 01915-6104
Phone (603) 767-7144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250528003614 MA Practitioner - Mental Health Counselor 0941729388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 207P
Beverly, MA 01915-6104
Phone (978) 388-3343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
5980MAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
The Millyard Health Collaborative, Inc. CurrentSince Feb 10, 2025 Accepting new patients

Locations

100 Cummings Ctr
Ste 207P
Beverly, MA 01915
Phone (978) 388-3343

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1104884758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 207P",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156104",
            "telephone_number": "603-767-7144",
            "fax_number": "978-388-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 207P",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156104",
            "telephone_number": "603-767-7144",
            "fax_number": "978-388-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MED LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "5980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.