Active NPI
Lucille Ann McGourty, LMHC
- Mental Health Counselor
- Quincy, MA
National Provider Identifier
1689764987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1261 Furnace Brook Pkwy Ste 31
Quincy, MA 02169-4762 - Phone
- (617) 479-4545
- Fax
- (617) 479-4555
- NPI assigned
- Oct 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1261 Furnace Brook Pkwy Ste 31
Quincy, MA 02169-4762
Mailing address
74 Hobart St
Braintree, MA 02184-3441
Phone (781) 848-2363
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Psychiatric Service | Mental Health | Past | Accepting new patients |
| Nova Psychiatric Services, PC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Quincy, MA
- NPI 1881782522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689764987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 HOBART ST",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021843441",
"telephone_number": "781-848-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 FURNACE BROOK PKWY STE 31",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694762",
"telephone_number": "617-479-4545",
"fax_number": "617-479-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOURTY",
"first_name": "LUCILLE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.