Active NPI
Marco R Macaluso, MA, LPC
- Mental Health Counselor
- Summerfield, FL
National Provider Identifier
1861906448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23190
- Practice address
- 14460 SE 97TH Ter
Summerfield, FL 34491-3623 - Phone
- (719) 569-0890
- NPI assigned
- Nov 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0014147 | CO | |
| Mental Health Counselor | 101YM0800X | MH23190 | FL | Primary |
Addresses
Primary practice location
14460 SE 97TH Ter
Summerfield, FL 34491-3623
Mailing address
834 S McCoy Dr
Pueblo, CO 81007-1781
Phone (719) 569-0890
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH23190 | FL | MD | Mental Health Counselor |
| 0014147 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1861906448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 S MCCOY DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810071781",
"telephone_number": "719-569-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14460 SE 97TH TER",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344913623",
"telephone_number": "719-569-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACALUSO",
"first_name": "MARCO",
"middle_name": "R",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-19",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0014147",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH23190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerfield, FL
- Logan'S Heavenly Care Services Corp
- Lovely Hands and More, LLC
- Courtney Marie Loynes, LMT
- Luna Beck MD & Associates PA
- Luna Beck MD & Associates PA
- Wendolin Mercedes Magana
- Mammana Intergrated Physical Medicine Inc
- Thomas Frank Mammana, D.C.
- Genowefa Marcinkiewicz, PTA
- Marion Community Hospital, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.