Individual provider Active NPI

Marc Maccini, M.ED. L.M.H.C.

  • Counselor
  • Swampscott, MA
National Provider Identifier
1285235994
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3883 Issued in MA
Practice address
44 Humphrey St Apt 3
Swampscott, MA 01907-2514
Phone
(781) 820-8017
NPI assigned
Nov 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3883 MA Primary

Addresses

Primary practice location

44 Humphrey St Apt 3
Swampscott, MA 01907-2514

Mailing address

44 Humphrey St Apt 3
Swampscott, MA 01907-2514
Phone (781) 820-8017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3883MAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1285235994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HUMPHREY ST APT 3",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072514",
            "telephone_number": "781-820-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUMPHREY ST APT 3",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072514",
            "telephone_number": "781-820-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCINI",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "M.ED. L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "3883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.