Carmen Pepicelli

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

116 Summer St
Haverhill, MA 01830-6032

Phone

(978) 373-7010

NPI assigned

May 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 12, 2024 through Jan 12, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Carmen Pepicelli PLLC

  • Mental Health Counselor
  • Andover, MA
  • NPI 1730755216
  NPD Authorized official

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1265844567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306032",
            "telephone_number": "978-373-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPICELLI",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penacook Place, Inc.
• Shelley Penna, NP
• Pentucket Medical Associates LLC
• Pentucket Medical Associates, LLC
• Pentucket Medical Radiology
• Holly Anne Pereira
• Crismery Perez
• Marieli Perez, M. ED.
• Matthew Clifton Perkins, CPHT
• Kelsey Perone

• Counselor in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.