Individual provider Active NPI

Marquita S Myrick, MA, NCC, LPC, LMHC

  • Mental Health Counselor
  • Foxborough, MA
National Provider Identifier
1437407079
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
18 Central St
Suite 5
Foxborough, MA 02035-2425
Phone
(720) 987-9357
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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 Primary

Addresses

Primary practice location

18 Central St
Suite 5
Foxborough, MA 02035-2425

Mailing address

18 Central St
Suite 5
Foxborough, MA 02035-2425
Phone (720) 987-9357

Other identifiers 1

IdentifierTypeStateIssuer
277216OtherMANCC (NATIONAL CERTIFIED COUNSELOR)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 3, 2025 through Mar 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1437407079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CENTRAL ST",
            "address_2": "SUITE 5",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020352425",
            "telephone_number": "720-987-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CENTRAL ST",
            "address_2": "SUITE 5",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020352425",
            "telephone_number": "720-987-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "MARQUITA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MA, NCC, LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC (NATIONAL CERTIFIED COUNSELOR)",
            "identifier": "277216",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxborough, MA

Sources for this page

Verify at the official NPI Registry.