Active NPI
Mary J Mercurio, LMHC, LCDP
- Mental Health Counselor
- Cranston, RI
National Provider Identifier
1831280544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000287
- Practice address
- 75 Sockanosset Cross Road
Suite 208
Cranston, RI 02920 - Phone
- (401) 398-1963
- NPI assigned
- Sep 27, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9688 | CT | |
| Mental Health Counselor | 101YM0800X | 000287 | RI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDP00288 | RI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDP 288 | RI |
Addresses
Primary practice location
75 Sockanosset Cross Road
Suite 208
Cranston, RI 02920
Mailing address
11 Blueberry LN
Cranston, RI 02921-1310
Phone (401) 398-1963
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413292 | Other | RI | BLUE CHIP |
| 0000031312 | Other | RI | BLUE CROSS |
| MM58994 | Medicaid | RI |
Other names 1
- Ms. Mary J Mercurio
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCDP 288 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| LCDP00288 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| MHC 000287 | RI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1831280544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BLUEBERRY LN",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029211310",
"telephone_number": "401-398-1963",
"fax_number": "401-386-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SOCKANOSSET CROSS ROAD",
"address_2": "SUITE 208",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02920",
"telephone_number": "401-398-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCURIO",
"first_name": "MARY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LMHC, LCDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "9688",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "000287",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "LCDP00288",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "LCDP 288",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "413292",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0000031312",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MM58994",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "MERCURIO",
"middle_name": "J",
"prefix": "MS.",
"credential": "LMHC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.