Individual provider Active NPI

Marilynn Buchenholz, LICSW

  • Mental Health Counselor
  • Wellesley, MA
National Provider Identifier
1255515664
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
104565 Issued in MA
Practice address
219 Washington St
Wellesley, MA 02481-3105
Phone
(781) 431-2277
Fax
(781) 431-7770
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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 104565 MA Primary

Addresses

Primary practice location

219 Washington St
Wellesley, MA 02481-3105

Mailing address

219 Washington St
Wellesley, MA 02481-3105
Phone (781) 431-2277

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
I20050927001026 MA Practitioner - Clinical Social Worker 5799710935 Practice locations: Newton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Newton, MA 02459
Phone (617) 953-5993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1255515664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813105",
            "telephone_number": "781-431-2277",
            "fax_number": "781-431-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813105",
            "telephone_number": "781-431-2277",
            "fax_number": "781-431-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHENHOLZ",
        "first_name": "MARILYNN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "104565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.