Marissa Anne Genduso

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

233 Needham St
Newton, MA 02464-1573

Phone

(774) 203-4671

NPI assigned

Mar 11, 2019

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.

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Nurtured Mind and Body LLC

  • Community/Behavioral Health Agency
  • Pittsfield, MA
  • NPI 1962210872
  NPD Authorized official

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1316405251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 NEEDHAM ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641573",
            "telephone_number": "774-203-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 NEEDHAM ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641573",
            "telephone_number": "774-203-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDUSO",
        "first_name": "MARISSA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Gayle
• Alessandra Savina Gazzola, DPT
• Ellen Geller
• Nadine Gabriela Geller
• Irene Gendel, PHARM D
• Robert Gensler, DC
• Zackary Hawthorne Gentry, LCSW
• Johanna Geoghegan
• Maria Georgakopoulos
• Jennifer W George, MSW

• Mental Health Counselor in Newton, MA
• Providers in Newton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.