Active NPI
Michael Stornanti
- Mental Health Counselor
- Worcester, MA
National Provider Identifier
1114666237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC10005256
- Practice address
- 42 Lake Ave
Worcester, MA 01604-5816 - Phone
- (508) 868-8070
- Fax
- (508) 519-6539
- NPI assigned
- May 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC10005256 | MA | Primary |
Addresses
Primary practice location
42 Lake Ave
Worcester, MA 01604-5816
Mailing address
4306 Jefferson PL
Bellingham, MA 02019-6307
Phone (508) 530-8145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC10005256 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marina R. Gurman | Mental Health | Current | Accepting new patients |
Locations
42 Lake Ave
Worcester, MA 01604
Phone (508) 556-0745
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": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1114666237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4306 JEFFERSON PL",
"city": "BELLINGHAM",
"state": "MA",
"postal_code": "020196307",
"telephone_number": "508-530-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 LAKE AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016045816",
"telephone_number": "508-868-8070",
"fax_number": "508-519-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORNANTI",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-27",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LMHC10005256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.