Individual provider Active NPI

Garry Mackoul, LMHC, LMFT

  • Mental Health Counselor
  • Yarmouth Port, MA
National Provider Identifier
1356426449
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3766 Issued in MA
Practice address
947 Route 6a
Suite 7
Yarmouth Port, MA 02675-2171
Phone
(508) 375-0155
Fax
(508) 375-0155
NPI assigned
Oct 26, 2006
Last updated
Sep 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3766 MA Primary
Marriage & Family Therapist 106H00000X 1079 MA

Addresses

Primary practice location

947 Route 6a
Suite 7
Yarmouth Port, MA 02675-2171

Mailing address

947 Route 6a
Suite 7
Yarmouth Port, MA 02675-2171
Phone (508) 375-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916000111 MA Practitioner - Mental Health Counselor 1850832049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

50 Oliver St
Suite 210
North Easton, MA 02356-1446
Phone (508) 375-0155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3766MAMDOptometrist
1079MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mackoul and Associates Inc Mental Health CurrentSince Jul 3, 2024 Accepting new patients
Guidance to Insight Counseling LLC Mental Health CurrentSince Jul 3, 2024 Accepting new patients

Locations

50 Oliver St
Ste 210
North Easton, MA 02356
Phone (339) 205-0114

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1356426449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 ROUTE 6A",
            "address_2": "SUITE 7",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752171",
            "telephone_number": "508-375-0155",
            "fax_number": "508-375-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 ROUTE 6A",
            "address_2": "SUITE 7",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752171",
            "telephone_number": "508-375-0155",
            "fax_number": "508-375-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKOUL",
        "first_name": "GARRY",
        "name_prefix": "Mr.",
        "credential": "LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "3766",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

Verify at the official NPI Registry.