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MARY ALICE LARAMIE MA
NPI 1124601174
Counselor - Mental Health in Somerville, MA

Active since April 28, 2021PECOS Enrolled
12 TYLER ST, SOMERVILLE, MA 02143(781) 752-9499 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Alice Laramie Ma NPPES

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

MARY ALICE LARAMIE MA (NPI 1124601174) is an individual mental health provider in Somerville, Massachusetts and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124601174
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY ALICE LARAMIECredential: MA
Location Address12 TYLER STSomerville, MA 02143-3241
Mailing Address12 Tyler StSomerville, MA 02143-3241 · (781) 752-9499
Phone(781) 752-9499
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1124601174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12 TYLER ST, Somerville, MA 02143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Alice Laramie Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547745283
PECOS Enrollment IDI20260331000728
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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Alice Laramie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adelis Health PLLC
2.6 mi
Mental Health
200 BOSTON AVE STE 1925
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6 clinicians in this Medicare group
NPI 1225808785 (617) 533-0416

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.

JULIA JOHNS MS CCC-SLP
Speech-Language Pathologist
12 TYLER ST
SOMERVILLE, MA 02143
Middlesex County (617) 629-3919
LAURA ANN MIGNERY CPS
Peer Specialist
12 TYLER ST
SOMERVILLE, MA 02143
Middlesex County (508) 904-6466
MS. ROBERTA BISCAN
Counselor
12 TYLER ST
SOMERVILLE, MA 02143
Middlesex County (617) 629-3919
JOHANNY NUNEZ
Social Worker (Clinical)
12 TYLER ST
SOMERVILLE, MA 02143
Middlesex County (781) 752-9517
THE GUIDANCE CENTER
Community/Behavioral Health
12 TYLER ST
SOMERVILLE, MA 02143
Middlesex County (617) 702-5771
COLLEEN LAVORATO
Community Health Worker
12 TYLER ST
SOMERVILLE, MA 02143
Middlesex County (781) 686-8567
MIRTA AURORA SANTANDER
Developmental Therapist
12 TYLER ST
SOMERVILLE, MA 02143
Middlesex County (617) 702-5797
MS. ANNA L TARKOFF MA
Social Worker (Clinical)
12 TYLER ST
SOMERVILLE, MA 02143
Middlesex County (617) 629-3919

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 Mary Alice Laramie's NPI number?

The NPI number for Mary Alice Laramie is 1124601174. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Mary Alice Laramie located?

Mary Alice Laramie practices at 12 Tyler St, Somerville, MA 02143. The listed phone number is (781) 752-9499.

What is Mary Alice Laramie's specialty?

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

Is Mary Alice Laramie enrolled in Medicare?

Yes. Mary Alice Laramie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Alice Laramie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Alice Laramie reassigns Medicare benefits to Adelis Health PLLC (Medford, MA). 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 Mary Alice Laramie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Alice Laramie accept?

Health plans from Harvard Pilgrim Health Care list Mary Alice Laramie 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 Mary Alice Laramie was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.