Salvatore J Lucca
Individual provider Active NPI Mental Health Counselor · West Yarmouth, MA
NPI 1821159161 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821159161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 217612 (MA)
- Practice address
- 572 Route 28
Pare & Associates
West Yarmouth, MA 02673-4909 - Phone
- (508) 775-0777
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Limbic Resources Inc
Practice addresses (Care Compare)
119 Cedar St
Hyannis, MA 02601-3011
Phone (774) 470-4535
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240201003180 | MA | Practitioner - Mental Health Counselor | 0648623041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217612 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limbic Resources Inc | Mental Health | Current |
Accepting new patients |
Locations
258 Main St
Ste B4
Buzzards Bay, MA 02532
Phone (508) 388-5833
119 Cedar St
Hyannis, MA 02601
Phone (508) 771-2198
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 217612 | MA | Yes |
Addresses
Primary practice location
572 Route 28
Pare & Associates
West Yarmouth, MA 02673-4909
Mailing address
12 Widgeon LN
West Yarmouth, MA 02673-3819
Phone (508) 776-9251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217612 | Other | MA | CLINICAL MENTAL HEALTH CO |
Other providers in West Yarmouth, MA
- Verna Lewis
- Zariah Lima
- Stacey Anne Locascio
- Ashton H Lovejoy
- Jill F. Loveridge
- Therese Marie Macleod
- Beth Ann Madvin-Cox
- William James Marasco
- Elisa Martin
- Jenna Maxim
All providers in West Yarmouth, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.