MARK IANNUCCILLI LMHC
NPI 1083577977
Counselor - Mental Health in Providence, RI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Iannuccilli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Warwick, RI 02886
- Reassigned Medicare billing, Rhode Island enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
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.
Which organization bills Medicare for Mark Iannuccilli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Iannuccilli reassigns Medicare benefits to Arrow Behavioral Health (Warwick, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Iannuccilli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Iannuccilli accept?
Health plans from Harvard Pilgrim Health Care list Mark Iannuccilli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 10 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.
# Mark Iannuccilli, LMHC · NPI 1083577977
Mental Health provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since December 8, 2025.
## Identity
- **NPI:** 1083577977 (Entity type: Individual)
- **Enumerated:** December 8, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MHC01956 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 345 BLACKSTONE BLVD STE 2, Providence, RI 02906-4800
- **Phone:** (401) 276-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Arrow Behavioral Health (NPI 1053990655, Warwick, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083577977) · Data from the CMS NPPES public registry.