Essex County Counseling and Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ESSEX COUNTY COUNSELING AND WELLNESS

Practice address

145 Cabot St Ste 4
Beverly, MA 01915-5109

Phone

(978) 222-9870

NPI assigned

Feb 11, 2021

Last updated

May 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Mores, LICSWNPI 1407391642

Title

Founder/Psychotherapist

Phone

(508) 333-7818

Specialties & licenses 3

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Mores, LICSW

  • Clinical Social Worker
  • Beverly, MA
  • NPI 1407391642
  NPD Authorized official

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1811580715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019700404",
            "telephone_number": "508-333-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CABOT ST STE 4",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155109",
            "telephone_number": "978-222-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX COUNTY COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "MORES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FOUNDER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "508-333-7818",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "Telehealth platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Simple Practice Telehealth platform",
            "address_1": "145 Cabot St Ste 4",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019155109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Entwistle
• Katie Ericson
• Kathleen Joy Eshelman, LICSW
• Essex Anesthesia, LLC
• Essex Cardiology Associates, Inc
• Essex County OB/GYN Associates
• Essex County OBGYN Assoc Inc
• Essex Optical Corporation (Parrelli Optical)
• Essex Surgical Associates, PC
• Essex Vitreoretinal Services, Inc.

• Mental Health Counselor in Beverly, MA
• Providers in Beverly, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.