Organization Active NPI

Mind Matters Counseling LLC

  • Mental Health Counselor
  • Danvers, MA
National Provider Identifier
1972236255
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND MATTERS COUNSELING LLC
Practice address
125 Liberty Street
Danvers, MA 01923
Phone
(781) 268-8489
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Marcello Cugno, MA, LMHCNPI 1659736817
Title
Mental Health Counselor
Phone
(781) 268-8489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

125 Liberty Street
Danvers, MA 01923

Mailing address

200F Main St # 152
Stoneham, MA 02180-1677
Phone (781) 268-8489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240904002325 MA Part B Supplier - Clinic/Group Practice 7517407646 Receives reassigned benefits from 1 practitioner
Practice locations: Stoneham, MA

National Provider Directory

National Provider Directory

Locations

125 Liberty St
Danvers, MA 01923
Phone (978) 750-6828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1972236255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200F MAIN ST # 152",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801677",
            "telephone_number": "781-268-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY STREET",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "781-268-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "CUGNO",
        "authorized_official_first_name": "MARCELLO",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "781-268-8489",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.