Individual provider Active NPI

Cynthia L. McRae, MS, LMHC

  • Counselor
  • Beverly, MA
National Provider Identifier
1902956766
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5932 Issued in MA
Practice address
900 Cummings Ctr
Suite 324-S
Beverly, MA 01915-6198
Phone
(781) 346-2228
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5932 MA Primary

Addresses

Primary practice location

900 Cummings Ctr
Suite 324-S
Beverly, MA 01915-6198

Mailing address

20 Shore Dr
Apt. D
Peabody, MA 01960-3096
Phone (978) 977-4898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000367 MA Practitioner - Mental Health Counselor 0244678365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5932MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Center, Inc. CurrentSince Feb 5, 2024 Accepting new patients
North Shore Medical Center, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Commonwealth Pathology Partners, P.C. Current Accepting new patients

Locations

480 Lynnfield St
Lynn, MA 01904
Phone (781) 581-3280

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1902956766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SHORE DR",
            "address_2": "APT. D",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603096",
            "telephone_number": "978-977-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "address_2": "SUITE 324-S",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198",
            "telephone_number": "781-346-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "5932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.