CARVENS MARCELLUS


Address: 89 Dover St, Brockton, MA 02301-5940
Phone: 5089331385

CARVENS MARCELLUS (NPI# 1568702991) 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) 1568702991
Entity Type Individual
Full Name CARVENS MARCELLUS
Practice Address 89 Dover St
Brockton
MA 02301-5940
Practice Telephone 5089331385
Enumeration Date 2013-02-21
Last Update Date 2013-02-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 89 DOVER ST
City BROCKTON
State MA
Zip Code 02301-5940

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1942807110 Jenny Vulpis Recreation Therapist 940 Belmont St (br 135), Brockton, MA 02301 2020-10-01
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1679113930 Laura Ann Brondyk II Counselor 10 Christys Dr, Brockton, MA 02301 2020-01-14
1437796521 Andrea Lopes Developmental Therapist 7 Goddard Road, Brockton, MA 02301 2019-12-08
1518420124 Diligencehealthcare Psychiatry & Neurology 30-40 Westpark Street, Brockton, MA 02301 2019-04-10
1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
1689193369 Anderson D Delgado Behavior Technician 11 Packard Way, Brockton, MA 02301 2017-09-14
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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
1720695919 Albert Bruce Myers Iv Counselor 139 Ash St, Brockton, MA 02301-3663 2020-09-30
1437762085 Laura Elizabeth Regal Counselor 231 Main St # 3, Brockton, MA 02301-4342 2020-08-24
1104313949 Michelle K. Hennessy Counselor 103 Commercial St Ste 2, Brockton, MA 02302-3133 2018-04-17
1447767215 Kafayat Bello Counselor 5 Raintree Cir Apt F, Brockton, MA 02302-1912 2018-01-03
1518495928 Shacorra Williams Counselor 12 Montgomery St, Brockton, MA 02301-3714 2017-05-30
1710426911 Michael Campbell Counselor 347 Quincy St, Brockton, MA 02302-3419 2017-02-21
1386181857 Wecjard Emmanuel Counselor 331 N Quincy St, Brockton, MA 02302-1940 2017-01-23
1427502814 Lauren Mackenzie Suarez Counselor 63 Whitmore St, Brockton, MA 02301-5660 2016-08-15
1972957439 Kassandra Morales Counselor 4 Sophia Ave, Brockton, MA 02301-2135 2016-04-20
1447658208 Altine Simon Counselor 74 Pine Grove Dr, Brockton, MA 02301-1115 2014-12-10
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Competitor

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City BROCKTON
Zip Code 02301

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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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