Provider Demographics
NPI:1205977139
Name:MCHUGH, KATHERINE MARIE (LMHC, LADCI)
Entity type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:MARIE
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:LMHC, LADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 SPICE MILL LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3300
Mailing Address - Country:US
Mailing Address - Phone:508-540-8833
Mailing Address - Fax:
Practice Address - Street 1:1046 MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:OSTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02655-1580
Practice Address - Country:US
Practice Address - Phone:508-540-8833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA918101YA0400X
MALMHC5104101YM0800X
DEPC-0000885101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAMH1300OtherBLUE CROSS BLUE SHIELD
MAMH1300Medicare ID - Type UnspecifiedBLUE CROSS BLUE SHIELD