Individual provider Active NPI

Mark Paharik

  • Mental Health Counselor
  • Holden, MA
National Provider Identifier
1730295874
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3421-CC Issued in MA
Practice address
61 Boyden Rd
Holden, MA 01520-2542
Phone
(508) 829-0330
Fax
(774) 642-0017
NPI assigned
Aug 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 3421-CC MA Primary

Addresses

Primary practice location

61 Boyden Rd
Holden, MA 01520-2542

Mailing address

27 Davidson Rd
Worcester, MA 01605-1338

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
I20240219001444 MA Practitioner - Mental Health Counselor 2860836806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Healthcare ServicesGroup PAC ID 3779818828, 26 clinicians

Practice addresses (Care Compare)

435 Shrewsbury St
Worcester, MA 01604-1689
Phone 5087535554110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3421-CCMAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Services CurrentSince Jan 1, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. Past Accepting new patients

Locations

435 Shrewsbury St
Worcester, MA 01604
Phone (508) 577-2017

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730295874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 DAVIDSON RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BOYDEN RD",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015202542",
            "telephone_number": "508-829-0330",
            "fax_number": "774-642-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHARIK",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "3421-CC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MA

Sources for this page

Verify at the official NPI Registry.