Active NPI
Mary P. McCusker, M.ED., LMHC
- Mental Health Counselor
- Jamaica Plain, MA
National Provider Identifier
1730301680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1964
- Practice address
- 1155 Centre St
Jamaica Plain, MA 02130-3432 - Phone
- (617) 983-7639
- Fax
- (617) 983-4658
- NPI assigned
- May 2, 2007
- 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 | 1964 | MA | Primary |
Addresses
Primary practice location
1155 Centre St
Jamaica Plain, MA 02130-3432
Mailing address
16 Ashfield St
Roslindale, MA 02131-1604
Phone (617) 504-0488
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 |
|---|---|---|---|---|
| I20240501003460 | MA | Practitioner - Mental Health Counselor | 0143660571 | Practice locations: Roslindale, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Roslindale, MA 02131
Phone (617) 504-0488
16 Ashfield St
Boston, MA 02131-1604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1964 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730301680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ASHFIELD ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311604",
"telephone_number": "617-504-0488",
"fax_number": "617-983-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 CENTRE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303432",
"telephone_number": "617-983-7639",
"fax_number": "617-983-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUSKER",
"first_name": "MARY",
"middle_name": "P.",
"credential": "M.ED., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, 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.
- 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.