Individual provider Active NPI

Mary L Ludy, LMHC,LMFT

  • Marriage & Family Therapist
  • Worcester, MA
National Provider Identifier
1770585481
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
737 Issued in MA
Practice address
23 Fruit St
Worcester, MA 01609-2126
Phone
(508) 797-0537
Fax
(508) 797-0611
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1638 MA
Marriage & Family Therapist 106H00000X MF737 MA
Marriage & Family Therapist 106H00000X 737 MA Primary

Addresses

Primary practice location

23 Fruit St
Worcester, MA 01609-2126

Mailing address

23 Fruit St
Worcester, MA 01609-2126
Phone (508) 797-0537

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
I20240213000618 MA Practitioner - Marriage and Family Therapist 0648625939 Practice locations: Worcester, MA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23 Fruit St
Worcester, MA 01609-2126
Phone 5088317745242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
737MAMDMarriage & Family Therapist
MF737MAMDMarriage & Family Therapist
1638MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Integrated Mental Health Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1770585481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FRUIT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092126",
            "telephone_number": "508-797-0537",
            "fax_number": "508-797-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FRUIT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092126",
            "telephone_number": "508-797-0537",
            "fax_number": "508-797-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDY",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "LMHC,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1638",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "MF737",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.