MARBLEHEAD COUNSELING CENTER INC NPI 1205915857

NPI Information

  • NPI: 1205915857
  • Provider Name: MARBLEHEAD COUNSELING CENTER INC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Former Legal Business Name: MARBLEHEAD COMMUNITY COUNSELING CENTER INC
  • Address: 66 CLIFTON AVE
    MARBLEHEAD, MA
    ZIP 01945
  • Phone: (781) 631-8273

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NPI Details

MARBLEHEAD COUNSELING CENTER INC is a counselor in Marblehead, MA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MARBLEHEAD COUNSELING CENTER INC NPI is 1205915857. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Marblehead Community Counseling Center Inc.

The provider's business location address is:

66 CLIFTON AVE
MARBLEHEAD, MA
ZIP 01945
Phone: (781) 631-8273
Fax: (781) 631-7264

The provider's authorized official is Paul Timothy Crosby .
The authorized official title is Executive Director and has the following contact phone number (781) 631-8273.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11307487MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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