Individual provider Active NPI

James R. Morin, LMHC

  • Mental Health Counselor
  • Wakefield, MA
National Provider Identifier
1174684641
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6059 Issued in MA
Practice address
1 W Water St Ste 201
Wakefield, MA 01880-2930
Phone
(339) 203-0450
Fax
(781) 587-2789
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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 6059 MA Primary

Addresses

Primary practice location

1 W Water St Ste 201
Wakefield, MA 01880-2930

Mailing address

1 W Water St Ste 201
Wakefield, MA 01880-2930
Phone (339) 203-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117000153 MA Practitioner - Clinical Social Worker 8022144781 Practice locations: Wakefield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 W Water St
Suite 201
Wakefield, MA 01880-2930
Phone (339) 203-0450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6059MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Psychiatric Care LLC CurrentSince Feb 3, 2026 Accepting new patients

Locations

1 W Water St
Ste 201
Wakefield, MA 01880
Phone (339) 203-0450

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1174684641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W WATER ST STE 201",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802930",
            "telephone_number": "339-203-0450",
            "fax_number": "815-872-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W WATER ST STE 201",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802930",
            "telephone_number": "339-203-0450",
            "fax_number": "781-587-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "JAMES",
        "middle_name": "R.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.