Individual provider Active NPI

Mary Helen Michetti, LMHC

  • Mental Health Counselor
  • Nantucket, MA
National Provider Identifier
1346437993
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6346 Issued in MA
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

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6346OtherMAALLIED MENTAL HEALTH
P09075927OtherMAMAMHCA

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

LicenseStateTypeSpecialty
6346MAMDClinical 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.

Verify at the official NPI Registry.