Amber Glen Raguckas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

800 Cummings Ctr Ste 266T
Beverly, MA 01915-6172

Phone

(978) 921-1190

NPI assigned

Jun 14, 2022

Last updated

Jan 17, 2024By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Northeast Behavioral Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beverly, MA
  • NPI 1154302586
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1366172256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SAINT PETER ST UNIT 303",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704066",
            "telephone_number": "484-241-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CUMMINGS CTR STE 266T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156172",
            "telephone_number": "978-921-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Saint Peter St Unit 303",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019704066",
            "country_code": "US",
            "telephone_number": "484-241-8962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Congress St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019705567",
            "country_code": "US",
            "telephone_number": "978-745-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGUCKAS",
        "first_name": "AMBER",
        "middle_name": "GLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer John Rabidou
• Kathryn Racanelli, MA
• Kelly Racicot
• Laura Racobaldo
• Thomas Rafferty, DDS
• Francia Ramirez
• Anne-Marie Rance, OTR/L
• Alexandra Randall-Miller
• Stacy Randall, RN
• Keith Rando, LMHC

• Mental Health Counselor in Beverly, MA
• Providers in Beverly, 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 Jan 17, 2024; 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.