Individual provider Active NPI

Bridget Marie Wilczynski, LMHC

  • Mental Health Counselor
  • North Andover, MA
National Provider Identifier
1629307780
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8129 Issued in MA
Practice address
73 Turnpike St # 1039
North Andover, MA 01845-5045
Phone
(978) 967-0027
NPI assigned
Dec 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X
Mental Health Counselor 101YM0800X 8129 MA Primary

Addresses

Primary practice location

73 Turnpike St # 1039
North Andover, MA 01845-5045

Mailing address

160 Andover Bypass
North Andover, MA 01845-5803
Phone (978) 967-0027

Other practice location 1

100 Cummings Ctr
Suite 456J
Beverly, MA 01915-6115
Phone (978) 921-4000

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

LicenseStateTypeSpecialty
8129MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Arts & Wellness LLC Mental Health CurrentSince Feb 9, 2025 Accepting new patients

Locations

73 Turnpike St
North Andover, MA 01845
Phone (617) 500-9824

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1629307780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ANDOVER BYPASS",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455803",
            "telephone_number": "978-967-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 TURNPIKE ST # 1039",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455045",
            "telephone_number": "978-967-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cummings Ctr",
            "address_2": "Suite 456J",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156115",
            "country_code": "US",
            "telephone_number": "978-921-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCZYNSKI",
        "first_name": "BRIDGET",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.