Active NPI
Marina Gretchen Gearhart, LMHC, R-DMT
- Mental Health Counselor
- Charlestown, MA
National Provider Identifier
1902672140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10001287
- Practice address
- 58 13TH St Unit 200
Charlestown, MA 02129-2140 - Phone
- (978) 994-4657
- NPI assigned
- Nov 29, 2023
- Last updated
- Dec 2, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10001287 | MA | Primary |
| Dance Therapist | 225600000X | 2663 | MA |
Addresses
Primary practice location
58 13TH St Unit 200
Charlestown, MA 02129-2140
Mailing address
58 13TH St Unit 200
Charlestown, MA 02129-2140
Phone (978) 994-4657
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 |
|---|---|---|---|
| 10001287 | MA | MD | Mental Health Counselor |
| 2663 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701475200000",
"number": "1902672140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 13TH ST UNIT 200",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021292140",
"telephone_number": "978-994-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 13TH ST UNIT 200",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021292140",
"telephone_number": "978-994-4657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARHART",
"first_name": "MARINA",
"middle_name": "GRETCHEN",
"credential": "LMHC, R-DMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2023-12-02",
"certification_date": "2023-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "10001287",
"primary": true
},
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": "MA",
"license": "2663",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.