Individual provider Active NPI

George Mouzakis

  • Mental Health Counselor
  • Amesbury, MA
National Provider Identifier
1639287261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
213712 Issued in MA
Practice address
5 Market SQ
B5
Amesbury, MA 01913-2497
Phone
(978) 388-7032
Fax
(978) 388-6080
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 213712 MA Primary

Addresses

Primary practice location

5 Market SQ
B5
Amesbury, MA 01913-2497

Mailing address

5 Market SQ
B5
Amesbury, MA 01913-2497
Phone (978) 388-7032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000204 MA Practitioner - Clinical Social Worker 8022344936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Behavioral Care New England LLCGroup PAC ID 2860836715, 26 clinicians

Practice addresses (Care Compare)

431 Johnson St
North Andover, MA 01845-4721
Phone (978) 296-5595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1023MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Care New England LLC CurrentSince Jan 1, 2024 Accepting new patients
Integrated Behavioral Care, LLC Mental Health CurrentSince Oct 1, 2023 Accepting new patients

Locations

800 Turnpike St
Ste 300
North Andover, MA 01845
Phone (978) 494-0441

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639287261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARKET SQ",
            "address_2": "B5",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132497",
            "telephone_number": "978-388-7032",
            "fax_number": "978-388-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARKET SQ",
            "address_2": "B5",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132497",
            "telephone_number": "978-388-7032",
            "fax_number": "978-388-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUZAKIS",
        "first_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "213712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

Verify at the official NPI Registry.