Individual provider Active NPI

Michelle Marie Mercurio, MA, LMFT

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1114113743
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000844 Issued in NY
Practice address
271 Madison Ave Ste 1400
New York, NY 10016-1014
Phone
(917) 546-4642
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000844 NY Primary

Addresses

Primary practice location

271 Madison Ave Ste 1400
New York, NY 10016-1014

Mailing address

271 Madison Ave Ste 1400
New York, NY 10016-1014
Phone (917) 546-4642

Other practice location 1

6 E 39th St
Suite 503
New York, NY 10016-0112
Phone (917) 719-0889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 3, 2024 through Jul 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mercurio Marriage and Family Therapy, PLLC Marriage & Family Therapist Current Accepting new patients

Locations

271 Madison Ave
Rm 1400
New York, NY 10016
Phone (212) 481-4022

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1114113743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 MADISON AVE STE 1400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161014",
            "telephone_number": "917-546-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MADISON AVE STE 1400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161014",
            "telephone_number": "917-546-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 E 39th St",
            "address_2": "Suite 503",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160112",
            "country_code": "US",
            "telephone_number": "917-719-0889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCURIO",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.