Michele Cubelli Harris, MENTAL HEALTH/ADDICT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

110 Rantoul St Apt 208
Beverly, MA 01915-4277

Phone

(978) 884-9194

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1831877059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RANTOUL ST APT 208",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154277",
            "telephone_number": "978-884-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RANTOUL ST APT 208",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154277",
            "telephone_number": "978-884-9194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Lindall St",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019232121",
            "country_code": "US",
            "telephone_number": "978-767-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUBELLI HARRIS",
        "first_name": "MICHELE",
        "credential": "MENTAL HEALTH/ADDICT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Crossen, LICSW
• Guy R Croteau, LICSW
• Edward Crowley
• Raymond H. Cruddas Jr.
• Bernadette Cruz, LSW
• Ivana Culic, M.D.
• Christopher R Cullinan, DMD
• Kathy Cumella, LICSW
• Deborah Lynn Cummins, M.D.
• Jordan M Cummins, M.D., PH.D.

• 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 Jul 7, 2023; 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.