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MARK IANNUCCILLI LMHC
NPI 1083577977
Counselor - Mental Health in Providence, RI

Active since December 08, 2025PECOS EnrolledAccepts Medicare Assignment
345 BLACKSTONE BLVD STE 2, PROVIDENCE, RI 02906(401) 276-4100 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Iannuccilli Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK IANNUCCILLI LMHC (NPI 1083577977) is an individual mental health provider in Providence, Rhode Island, licensed in Rhode Island (MHC01956) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083577977
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARK IANNUCCILLICredential: LMHC
Location Address345 BLACKSTONE BLVD STE 2Providence, RI 02906-4800
Mailing Address345 Blackstone Blvd Ste 2Providence, RI 02906-4829 · (401) 276-4100
Phone(401) 276-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1083577977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in RI · MHC01956
345 BLACKSTONE BLVD STE 2, Providence, RI 02906
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Iannuccilli Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476038746
PECOS Enrollment IDI20260403001748
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEMMA WALLACE PHD
Psychologist
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Providence County (401) 455-6200
TOSCA BRAUN PHD
Psychologist (Clinical)
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Providence County (401) 455-6219
LISSA TROTT LCDP
Counselor (Addiction (Substance Use Disorder))
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Providence County (401) 455-6200
MADISON CONLEY MHCA
Counselor (Mental Health)
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Providence County (401) 454-9141
DR. SAMANTHA SCETTA DO
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Providence County (401) 455-6200
MEGAN MCCORDIC MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Providence County (401) 455-6200
MADDISON KENDRA BENSON MS
Occupational Therapist
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Providence County (401) 455-6200
DALIAH HOPE ROSS PHD
Student in an Organized Health Care Education/Training Program
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Providence County (401) 455-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Iannuccilli's NPI number?

The NPI number for Mark Iannuccilli is 1083577977. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Mark Iannuccilli located?

Mark Iannuccilli practices at 345 Blackstone Blvd Ste 2, Providence, RI 02906. The listed phone number is (401) 276-4100.

What is Mark Iannuccilli's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mark Iannuccilli enrolled in Medicare?

Yes. Mark Iannuccilli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Iannuccilli was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.