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MR. MICKENSON ST JOY ASSOCIATE DEGREE
NPI 1700275476
Counselor - Mental Health in Brockton, MA

Active since January 17, 2015
62 ECHO ST, BROCKTON, MA 02301(862) 237-0555 Get Directions Write a Review

NPPES record last updated: January 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mickenson St Joy Associate Degree NPPES

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

MR. MICKENSON ST JOY ASSOCIATE DEGREE (NPI 1700275476) is an individual mental health provider in Brockton, Massachusetts and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1700275476
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICKENSON ST JOYCredential: ASSOCIATE DEGREE
Location Address62 ECHO STBrockton, MA 02301-6510
Mailing Address62 Echo StBrockton, MA 02301-6510 · (862) 237-0555
Phone(862) 237-0555
Sole ProprietorNo
Enumeration DateJanuary 17, 2015
✔ NPI 1700275476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
62 ECHO ST, Brockton, MA 02301
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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 Mickenson St Joy's NPI number?

The NPI number for Mickenson St Joy is 1700275476. It was assigned to this individual provider in the NPPES registry on January 17, 2015.

Where is Mickenson St Joy located?

Mickenson St Joy practices at 62 Echo St, Brockton, MA 02301. The listed phone number is (862) 237-0555.

What is Mickenson St Joy's specialty?

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

When was this NPI record last updated?

The NPPES record for Mickenson St Joy was last updated on January 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.