Individual provider Active NPI

Mary Musial, LMHC, LCDP

  • Mental Health Counselor
  • North Kingstown, RI
National Provider Identifier
1679126452
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00929 Issued in RI
Practice address
22 Midway Dr
North Kingstown, RI 02852-2514
Phone
(860) 884-9368
NPI assigned
Jul 20, 2019
Last updated
Jul 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00671 RI
Mental Health Counselor 101YM0800X MHC00929 RI Primary

Addresses

Primary practice location

22 Midway Dr
North Kingstown, RI 02852-2514

Mailing address

22 Midway Dr
North Kingstown, RI 02852-2514

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
CDP00671RIMDAddiction (Substance Use Disorder) Counselor
MHC00929RIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1679126452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MIDWAY DR",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028522514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MIDWAY DR",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028522514",
            "telephone_number": "860-884-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSIAL",
        "first_name": "MARY",
        "credential": "LMHC, LCDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00671",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.