Active NPI
Patricia J Stewart, MED LMHC
- Professional Counselor
- Beverly, MA
National Provider Identifier
1104884758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5980
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5980 | MA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Millyard Health Collaborative, Inc. | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.