Individual provider Active NPI

Melissa Judith Glassman, LMHC

  • Mental Health Counselor
  • Gloucester, MA
National Provider Identifier
1376676502
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5004 Issued in MA
Practice address
3 Blackburn Ctr
Gloucester, MA 01930-2268
Phone
(978) 283-7198
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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 5004 MA Primary

Addresses

Primary practice location

3 Blackburn Ctr
Gloucester, MA 01930-2268

Mailing address

280 Merrimack St
Lawrence, MA 01843-1779
Phone (978) 738-4543

Other practice location 1

11 Union St
Lawrence, MA 01840-1815
Phone (978) 685-1337 ext. 224

Other practice location 2

11 Union St
Lawrence, MA 01840-1815
Phone (978) 685-1337 ext. 224

Other practice location 3

110 Boston St
Salem, MA 01970-1402
Phone (978) 283-7198

Other practice location 4

10 Bridge St
Lowell, MA 01852
Phone (978) 453-5736

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
I20240430004151 MA Practitioner - Mental Health Counselor 2466892906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Community Health IncGroup PAC ID 4880666452, 38 clinicians

Practice addresses (Care Compare)

27 Congress St
Salem, MA 01970-5578

47 Congress St
Salem, MA 01970-7308
Phone (978) 744-8388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5004MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Associates of North Reading Mental Health CurrentSince Nov 26, 2024 Accepting new patients
Justice Resource Institute, Inc. CurrentSince Dec 19, 2023 Accepting new patients

Locations

5 Market Sq
Ste 102
Amesbury, MA 01913
Phone (978) 664-2556

3 Blackburn Ctr
Gloucester, MA 01930
Phone (978) 264-3500

58 Concord St
North Reading, MA 01864
Phone (866) 331-3345

110 Boston St
Salem, MA 01970
Phone (781) 592-5691

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1376676502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431779",
            "telephone_number": "978-738-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BLACKBURN CTR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302268",
            "telephone_number": "978-283-7198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Union St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018401815",
            "country_code": "US",
            "telephone_number": "978-685-1337 x224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Union St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018401815",
            "country_code": "US",
            "telephone_number": "978-685-1337 x224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Boston St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019701402",
            "country_code": "US",
            "telephone_number": "978-283-7198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "01852",
            "country_code": "US",
            "telephone_number": "978-453-5736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "MELISSA",
        "middle_name": "JUDITH",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.