Individual provider Active NPI

Callie J Buccini, LMHC

  • Mental Health Counselor
  • Beverly, MA
National Provider Identifier
1811751779
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC100001500 Issued in MA
Practice address
950 Cummings Ctr Ste 106X
Beverly, MA 01915-6274
Phone
(603) 531-9239
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 LMHC100001500 MA Primary

Addresses

Primary practice location

950 Cummings Ctr Ste 106X
Beverly, MA 01915-6274

Mailing address

9 Hilda Dr
Hampton, NH 03842-4101
Phone (603) 531-9239

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

State licenses

LicenseStateTypeSpecialty
LMHC100001500MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1811751779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HILDA DR",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038424101",
            "telephone_number": "603-531-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CUMMINGS CTR STE 106X",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156274",
            "telephone_number": "603-531-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCINI",
        "first_name": "CALLIE",
        "middle_name": "J",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC100001500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.