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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASSHEALTH ID (BMC) | 100052833033 | 01 |
| MA | BOSTON MEDICAL CENTER (HNP) | B0118648400 | 01 |
| Street Address |
25 GRANITE ST APT 1 |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01930-3455 |
| 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 Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| 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 | ||||
| City | GLOUCESTER |
| Zip Code | 01930 |
Please comment or provide details below to improve the information on CRISTISHA GUADAPULE MERCADO LIRIANO.
| 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.