Active NPI
Alexandra Marcal
- Mental Health Counselor
- Wareham, MA
National Provider Identifier
1649727645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11443
- Practice address
- 13 Terry LN W
Wareham, MA 02571-1721 - Phone
- (508) 315-7113
- NPI assigned
- Sep 7, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11443 | MA | Primary |
Addresses
Primary practice location
13 Terry LN W
Wareham, MA 02571-1721
Mailing address
13 Terry LN W
Wareham, MA 02571-1721
Phone (508) 315-7113
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240328001522 | MA | Practitioner - Mental Health Counselor | 9537541974 | Practice locations: Mattapoisett, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
145 Fairhaven Rd
Mattapoisett, MA 02739-1460
Phone (508) 591-0939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11443 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657929600000",
"number": "1649727645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 TERRY LN W",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025711721",
"telephone_number": "508-315-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 TERRY LN W",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025711721",
"telephone_number": "508-315-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCAL",
"first_name": "ALEXANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2022-07-16",
"certification_date": "2022-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "11443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wareham, MA
- Alesha Lyle, FNP-C
- Daniel Leo Lynch
- Kristin Macdonald, OTR
- John H Macfarlane, MD
- Helena Manning- Shannon, PT, GCS
- Allison Nicole Martin, OTR/L
- Leslie Jeanne Mason, LICSW
- Mass Optometric Associates, PLLC (Mass Optometric Associates PC)
- Massachusetts South Eastern Eye Center, Inc.
- David Maxfield, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.