CRISTISHA GUADAPULE MERCADO LIRIANO


Address: 25 Granite St Apt 1, Gloucester, MA 01930-3455
Phone: 9787101537

CRISTISHA GUADAPULE MERCADO LIRIANO (NPI# 1568005163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568005163
Entity Type Individual
Full Name CRISTISHA GUADAPULE MERCADO LIRIANO
Practice Address 25 Granite St Apt 1
Gloucester
MA 01930-3455
Practice Telephone 9787101537
Mailing Telephone 9787101537
Enumeration Date 2019-10-26
Last Update Date 2019-10-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA MASSHEALTH ID (BMC) 100052833033 01
MA BOSTON MEDICAL CENTER (HNP) B0118648400 01

Office Location

Street Address 25 GRANITE ST APT 1
City GLOUCESTER
State MA
Zip Code 01930-3455

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528538592 Kimberly Moniz Counselor 3 & 4 Blackburn Center, Gloucester, MA 01930 2018-12-03
1770066714 Anneliese Deckert Counselor 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 2018-09-14
1497231070 Erika Ackermann Duffy Social Worker Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 2018-07-17
1639677958 Sarah Bethany Stockwell Counselor 3 Blackburn Center Drive, Gloucester, MA 01930 2018-02-01
1164931721 Samantha Carapellucci Counselor Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 2017-09-27
1215455860 Jennifer Catherine Hynes Social Worker 33 Commercial Street, Gloucester, MA 01930 2017-09-05
1952829590 Jessica Demarjian Counselor 24 Glemere Ave, Gloucester, MA 01930 2017-09-04
1033636600 Anne Kirk Drueding Social Worker 29a Emerson Avenue, Gloucester, MA 01930 2017-08-24
1982128211 Kristen Elizabeth Drischler Registered Nurse 29a Emerson Ave, Gloucester, MA 01930 2017-07-28
1992229207 Jacqueline Marie Misuraca Registered Nurse 29 A Emerson Ave, Gloucester, MA 01930 2017-07-28
Find all providers in zip 01930

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467918284 Joseph Patrick Nadler Counselor 3 Blackburn Ctr Fl 2, Gloucester, MA 01930-2268 2019-02-17
1528538592 Kimberly Moniz Counselor 3 & 4 Blackburn Center, Gloucester, MA 01930 2018-12-03
1558839563 Suzanne M Degagne Counselor 150 E Main St Fl 1, Gloucester, MA 01930-3848 2018-11-07
1770066714 Anneliese Deckert Counselor 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 2018-09-14
1639677958 Sarah Bethany Stockwell Counselor 3 Blackburn Center Drive, Gloucester, MA 01930 2018-02-01
1164931721 Samantha Carapellucci Counselor Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 2017-09-27
1952829590 Jessica Demarjian Counselor 24 Glemere Ave, Gloucester, MA 01930 2017-09-04
1508231382 Jeremiah Sweet Counselor 25 Exchange St, Gloucester, MA 01930-3449 2015-12-05
1336511948 Emily Interrante Counselor 9 Nally Ave, Gloucester, MA 01930-1662 2015-10-22
1548648918 Robert Leo Duffy IIi Counselor 3 Blackburn Ctr, Gloucester, MA 01930-2268 2015-05-18
Find all providers in GLOUCESTER

Competitor

Search similar providers

City GLOUCESTER
Zip Code 01930

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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