Active NPI
Dominic Anthony Mancuso
- Counselor
- Ludlow, MA
National Provider Identifier
1982409025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1234567890
- Practice address
- 214 Westerly Cir
Ludlow, MA 01056-1622 - Phone
- (413) 310-6991
- NPI assigned
- Feb 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1234567890 | MA | Primary |
Addresses
Primary practice location
214 Westerly Cir
Ludlow, MA 01056-1622
Mailing address
214 Westerly Cir
Ludlow, MA 01056-1622
Phone (413) 310-6991
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 |
|---|---|---|---|
| 1234567890 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1982409025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 WESTERLY CIR",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010561622",
"telephone_number": "413-310-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 WESTERLY CIR",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010561622",
"telephone_number": "413-310-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCUSO",
"first_name": "DOMINIC",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "1234567890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ludlow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.