Active NPI
Maurine Katiana Marcellus, M.A., NCSP, LPC, NCC
- Professional Counselor
- Everett, MA
National Provider Identifier
1568576429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004293
- Practice address
- PO Box 490724
Everett, MA 02149-0013 - Phone
- (267) 626-9697
- Fax
- (610) 410-8179
- NPI assigned
- Aug 18, 2006
- Last updated
- Dec 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | PC004293 | PA | Primary |
| School Psychologist | 103TS0200X | PA |
Addresses
Primary practice location
PO Box 490724
Everett, MA 02149-0013
Mailing address
PO Box 490724
Everett, MA 02149-0013
Phone (267) 626-9697
Other practice location 1
1357 Canal St
Northampton, PA 18067-1421
Phone (267) 626-9697
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004293 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1568576429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490724",
"city": "EVERETT",
"state": "MA",
"postal_code": "021490013",
"telephone_number": "267-626-9697",
"fax_number": "610-410-8179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 490724",
"city": "EVERETT",
"state": "MA",
"postal_code": "021490013",
"telephone_number": "267-626-9697",
"fax_number": "610-410-8179"
}
],
"practiceLocations": [
{
"address_1": "1357 Canal St",
"address_purpose": "LOCATION",
"city": "Northampton",
"state": "PA",
"postal_code": "180671421",
"country_code": "US",
"telephone_number": "267-626-9697",
"fax_number": "610-410-8179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCELLUS",
"first_name": "MAURINE",
"middle_name": "KATIANA",
"name_prefix": "Miss",
"credential": "M.A., NCSP, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004293",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.