Marilyn Mus Kanu

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

100 Cummings Center, Suit 235C
Beverly, MA 01915

Phone

(978) 376-5623

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Marilyn Mus Kanu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1407587207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521708",
            "telephone_number": "978-454-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER, SUIT 235C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-376-5623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Merrimack St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018521708",
            "country_code": "US",
            "telephone_number": "978-454-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANU",
        "first_name": "MARILYN",
        "middle_name": "MUS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "KANU",
            "middle_name": "MUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Siddi Kallon
• Stefani Jo Kalos
• Erin Kang
• Sooyoun Kang
• Christine Kannler, M.D., M.P.H.
• Joseph Kao, D.M.D
• Eliana Kaplan
• Harold J Kaplan, D.M.D.
• Melissa J Kaplan, LMHC
• Crystal Kariores, FNP-C

• 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 Dec 26, 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.