MRS. LUCILLE ANN MCGOURTY (NPI# 1689764987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689764987 |
| Entity Type | Individual |
| Full Name | MRS. LUCILLE ANN MCGOURTY |
| Credential | LMHC |
| Practice Address |
1261 Furnace Brook Pkwy Ste 31 Quincy MA 02169-4762 |
| Mailing Address |
74 Hobart St Braintree MA 02184-3441 |
| Practice Telephone | 6174794545 |
| Practice Fax Number | 6174794555 |
| Mailing Telephone | 7818482363 |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1261 FURNACE BROOK PKWY STE 31 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861583015 | Robert Henry Baseman | Registered Nurse | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4762 | 2006-09-27 |
| 1184241671 | John Thomas Livick-moses | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4768 | 2020-06-30 |
| 1467011841 | Debra Labar Rhines | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2019-06-10 |
| 1043747066 | Nicole Marie Warner | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2017-05-22 |
| 1811344187 | Theresa Fernandes | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169 | 2016-05-17 |
| 1003291121 | Meghan Blair | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2015-07-30 |
| 1720499536 | Dinna Khoy | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4768 | 2014-05-14 |
| 1902061153 | Kimberly A Buffam | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4768 | 2008-07-26 |
| 1215153952 | Anne Modena | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2007-04-18 |
| 1144341140 | Susan L Dubuc | Clinical Nurse Specialist | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4762 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617339 | Meghan Earle | Counselor | 1354 Hancock St Ste 214, Quincy, MA 02169-5109 | 2020-10-19 |
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1427608223 | Derrick Lacasse | Counselor | 79 Curtis Ave Apt 1, Quincy, MA 02169-7200 | 2019-09-13 |
| 1396309134 | Ariana B Teixeira | Counselor | 859 Willard St Ste 4, Quincy, MA 02169-7482 | 2019-04-26 |
| 1417510553 | Seth Andrew Stultz I | Counselor | 23 Branch St, Quincy, MA 02169-7561 | 2019-04-15 |
| 1033676945 | Martinette Z Douglas | Counselor | 2931 Payson Hts Apt Suite, Quincy, IL 62305-6429 | 2019-02-27 |
| 1942772793 | Maura Eileen Papile | Counselor | 34 Coddington St, Quincy, MA 02169-4501 | 2018-12-18 |
| 1295219285 | Katrina D Reyes | Counselor | 460 Quincy Ave Fl 3, Quincy, MA 02169-8130 | 2018-09-17 |
| 1548740301 | Amanda Paige Reilly | Counselor | 500 Victory Rd Ste 24, Quincy, MA 02171-3109 | 2018-08-20 |
| 1023501517 | Kelly Marie O'gara | Counselor | 1419 Hancock St Ste 200, Quincy, MA 02169-5250 | 2018-06-11 |
| Find all providers in QUINCY | ||||
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| 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.