Active NPI
Stacey McEnerney, LMHC
- Mental Health Counselor
- Boston, MA
National Provider Identifier
1508197104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH4755CC
- Practice address
- 72-74 East Dedham St.
Boston, MA 02118 - Phone
- (617) 292-9200
- Fax
- (617) 292-9275
- NPI assigned
- Jan 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH4755CC | MA | Primary |
Addresses
Primary practice location
72-74 East Dedham St.
Boston, MA 02118
Mailing address
72-74 East Dedham St.
Boston, MA 02118
Phone (617) 292-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH4755CC | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1508197104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72-74 EAST DEDHAM ST.",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-292-9200",
"fax_number": "617-292-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72-74 EAST DEDHAM ST.",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-292-9200",
"fax_number": "617-292-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCENERNEY",
"first_name": "STACEY",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-21",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "MH4755CC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.