| North Shore Counseling Center Inc | |
| 
					100 Cummings Ctr Ste 307e Beverly MA 01915-6107  | |
| (978) 922-2280 | |
| (978) 927-1758 | 
| Full Name | North Shore Counseling Center Inc | 
|---|---|
| Speciality | Counselor | 
| Location | 100 Cummings Ctr Ste 307e, Beverly, Massachusetts | 
| Authorized Official Name and Position | Jeffrey D Cilcus (PRESIDENT) | 
| Authorized Official Contact | 9789222280 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| North Shore Counseling Center Inc 100 Cummings Ctr Ste 307e Beverly MA 01915-6107 Ph: (978) 922-2280  | North Shore Counseling Center Inc 100 Cummings Ctr Ste 307e Beverly MA 01915-6107 Ph: (978) 922-2280  | 
| NPI Number | 1023187366 | 
|---|---|
| Provider Enumeration Date | 11/08/2006 | 
| Last Update Date | 04/29/2025 | 
| Certification Date | 04/29/2025 | 
| Medicare PECOS PAC ID | 8628138153 | 
|---|---|
| Medicare Enrollment ID | O20081113000562 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023187366 | NPI | - | NPPES | 
| W10026 | Other | MA | BLUE CROSS | 
| 1010630 | Other | MA | BEACON HEALTH | 
| 901877 | Other | MA | TUFTS | 
| 1302892 | Medicaid | MA | |
| M12435 | Other | MA | BLUE CROSS | 
| 97964101 | Other | MA | NETWORK HEALTH | 
| Provider Name | Nechal Tejwani | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1962565135 PECOS PAC ID: 3577547629 Enrollment ID: I20040616000200  | 
| Provider Name | Karen Vautour | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1881748069 PECOS PAC ID: 7911957501 Enrollment ID: I20050201000286  | 
| Provider Name | Wendy P Ohara | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1306866710 PECOS PAC ID: 3476595679 Enrollment ID: I20050527000286  | 
| Provider Name | Caryn P Berman | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1255479648 PECOS PAC ID: 5092815902 Enrollment ID: I20070706000358  | 
| Provider Name | Mercy Mugure Bashir | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1558673616 PECOS PAC ID: 8820250509 Enrollment ID: I20131216000743  | 
| Provider Name | Carrissa L Cavanagh-gilhuly | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1093237232 PECOS PAC ID: 5799216537 Enrollment ID: I20241003001001  | 
| Provider Name | Carolyn A Arena | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1184294472 PECOS PAC ID: 4880124593 Enrollment ID: I20250211002171  | 
| Provider Name | Jordan R Castonguay | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1831670751 PECOS PAC ID: 4183154750 Enrollment ID: I20250212000250  | 
| Provider Name | Susan C Tognazzi | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1609500453 PECOS PAC ID: 3072033224 Enrollment ID: I20250219000901  | 
| Provider Name | Tara Lacross | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1104553981 PECOS PAC ID: 5890216238 Enrollment ID: I20250303000545  | 
| Provider Name | Brett M Balter | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1689132672 PECOS PAC ID: 7517488513 Enrollment ID: I20250306002271  | 
| Provider Name | Patricia S Hodges | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1952061046 PECOS PAC ID: 4688196413 Enrollment ID: I20250320002705  | 
Atentiv Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr Ste 451c, Beverly, MA 01915 Phone: 508-954-0494  | |
Beacon Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 140 Elliott St Ste 5, Beverly, MA 01915 Phone: 978-473-1346  | |
Wholeness Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Dodge St Unit C, North Beverly Plaza #1013, Beverly, MA 01915 Phone: 978-228-1410  | |
Aic Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr Ste 325j, Beverly, MA 01915 Phone: 508-843-9982  | |
Megan Grandon Licsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Dodge St Unit C, North Beverly Plaza #1016, Beverly, MA 01915 Phone: 978-219-4119  | |
Dba Scott R. Olson Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Cummings Center Suite 5350, North Shore Psychiatry Center, Beverly, MA 01915 Phone: 978-922-8600 Fax: 978-922-8601  |