Individual provider Active NPI

Marianne Julie Moriarty, LMHC

  • Mental Health Counselor
  • Feeding Hills, MA
National Provider Identifier
1154416840
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5505 Issued in MA
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

Updated by the provider on Dec 29, 2011

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 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 Former name

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
5505MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.