Active NPI
Mary Helen Michetti, LMHC
- Mental Health Counselor
- Nantucket, MA
National Provider Identifier
1346437993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6346
- Practice address
- 8 Pinetree Rd
Nantucket, MA 02554-2826 - Phone
- (508) 221-0892
- NPI assigned
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6346 | MA | Primary |
Addresses
Primary practice location
8 Pinetree Rd
Nantucket, MA 02554-2826
Mailing address
PO Box 305
Nantucket, MA 02554-0305
Phone (508) 221-0892
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6346 | Other | MA | ALLIED MENTAL HEALTH |
| P09075927 | Other | MA | MAMHCA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6346 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1346437993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025540305",
"telephone_number": "508-221-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 PINETREE RD",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025542826",
"telephone_number": "508-221-0892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHETTI",
"first_name": "MARY",
"middle_name": "HELEN",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIED MENTAL HEALTH",
"identifier": "6346",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMHCA",
"identifier": "P09075927",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.