Individual provider Active NPI

Mary McCarthy

  • Mental Health Counselor
  • Marquette, MI
National Provider Identifier
1124485750
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801093893 Issued in MI
Practice address
706 Chippewa SQ
Suite 200
Marquette, MI 49855-4834
Phone
(906) 228-4050
Fax
(906) 228-2153
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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 6801093893 MI Primary

Addresses

Primary practice location

706 Chippewa SQ
Suite 200
Marquette, MI 49855-4834

Mailing address

706 Chippewa SQ
Suite 200
Marquette, MI 49855-4834
Phone (906) 228-4050

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

LicenseStateTypeSpecialty
6801093893MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services of the U.P. Inc. Past Accepting new patients
Child and Family Services of the Upper Peninsula Inc PastSince Sep 1, 2015 Accepting new patients

Organizations & group practices 2

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1124485750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 CHIPPEWA SQ",
            "address_2": "SUITE 200",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554834",
            "telephone_number": "906-228-4050",
            "fax_number": "906-228-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 CHIPPEWA SQ",
            "address_2": "SUITE 200",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554834",
            "telephone_number": "906-228-4050",
            "fax_number": "906-228-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801093893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.