Active NPI
Maxime Lee Marcellus, MS
- Counselor
- Quincy, MA
National Provider Identifier
1699662833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1354 Hancock St
Quincy, MA 02169-5109 - Phone
- (877) 786-4830
- NPI assigned
- Jun 20, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1354 Hancock St
Quincy, MA 02169-5109
Mailing address
9 Jones Ave
Dorchester, MA 02124-4115
Other practice location 1
1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Phone (888) 763-7272
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | TheChildandFamilyWellnessCenter | Health Information Exchange (HIE) | TCFWC - The Child and Family Wellness Center LLC |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1699662833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 JONES AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021244115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 HANCOCK ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695109",
"telephone_number": "877-786-4830"
}
],
"practiceLocations": [
{
"address_1": "1234 Hyde Park Ave",
"address_purpose": "LOCATION",
"city": "Hyde Park",
"state": "MA",
"postal_code": "021362819",
"country_code": "US",
"telephone_number": "888-763-7272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCELLUS",
"first_name": "MAXIME",
"middle_name": "LEE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "TheChildandFamilyWellnessCenter",
"affiliation": "Y",
"endpointDescription": "TCFC",
"affiliationName": "TCFWC - The Child and Family Wellness Center LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1234 Hyde Park Ave",
"city": "Hyde Park",
"state": "MA",
"country_code": "US",
"postal_code": "021362819",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 20, 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.