NPIMap

Organization Active NPI

Mission Counseling & Guidance Center

  • Mental Health Counselor
  • Haverhill, MA
National Provider Identifier
1265944615
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8102 Issued in MA
Legal business name
MISSION COUNSELING & GUIDANCE CENTER
Practice address
375 Main St
Haverhill, MA 01830-4037
Phone
(978) 518-0674
Fax
(978) 518-0674
NPI assigned
Oct 25, 2017
Last updated
Oct 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Mary Fallavollita, LMHCNPI 1932456613
Title
Owner/Psychotherapist
Phone
(978) 518-0674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8102 MA Primary

Addresses

Primary practice location

375 Main St
Haverhill, MA 01830-4037

Mailing address

14 Parsons Rd
West Newbury, MA 01985-1316
Phone (978) 518-0674

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1265944615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PARSONS RD",
            "city": "WEST NEWBURY",
            "state": "MA",
            "postal_code": "019851316",
            "telephone_number": "978-518-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018304037",
            "telephone_number": "978-518-0674",
            "fax_number": "978-518-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION COUNSELING & GUIDANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "FALLAVOLLITA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "978-518-0674",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.