Love & Mercy Christian Counseling Services, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LOVE & MERCY CHRISTIAN COUNSELING SERVICES, INC

Practice address

1424 Blue Hill Ave
Mattapan, MA 02126-2277

Phone

(617) 828-7447

Fax

(617) 296-5552

NPI assigned

May 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie Berthonia Anto

Title

Ceo

Phone

(617) 828-7447

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1245087790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 BLUE HILL AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262277",
            "telephone_number": "617-828-7447",
            "fax_number": "617-296-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 BLUE HILL AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262277",
            "telephone_number": "617-828-7447",
            "fax_number": "617-296-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE & MERCY CHRISTIAN COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "ANTO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "BERTHONIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-828-7447"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.