Active NPI
Marianne Julie Moriarty, LMHC
- Mental Health Counselor
- Feeding Hills, MA
National Provider Identifier
1154416840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5505
- Practice address
- 30 Southwick St
Agawam Counseling Center
Feeding Hills, MA 01030 - Phone
- (413) 786-6410
- Fax
- (413) 789-9623
- NPI assigned
- Oct 4, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5505 | MA | Primary |
Addresses
Primary practice location
30 Southwick St
Agawam Counseling Center
Feeding Hills, MA 01030
Mailing address
PO Box 84
30 Southwick St Agawam Counseling Center
Feeding Hills, MA 01030
Phone (413) 786-6410
Other names 1
- Marianne Julie Popko
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 |
|---|---|---|---|
| 5505 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Network, Inc | Past | Accepting new patients |
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.
-
- Methadone Clinic
- Springfield, MA
- NPI 1669017653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1154416840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84",
"address_2": "30 SOUTHWICK ST AGAWAM COUNSELING CENTER",
"city": "FEEDING HILLS",
"state": "MA",
"postal_code": "01030",
"telephone_number": "413-786-6410",
"fax_number": "413-789-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 SOUTHWICK ST",
"address_2": "AGAWAM COUNSELING CENTER",
"city": "FEEDING HILLS",
"state": "MA",
"postal_code": "01030",
"telephone_number": "413-786-6410",
"fax_number": "413-789-9623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIARTY",
"first_name": "MARIANNE",
"middle_name": "JULIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANNE",
"last_name": "POPKO",
"middle_name": "JULIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Feeding Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.