Heather Elliott, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

North Quabbin Retreat
211 North Main Street
Petersham, MA 01366

Phone

(978) 724-0010

Fax

(978) 724-0011

NPI assigned

Jun 15, 2010

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectrum Health Systems, Inc

  • Community/Behavioral Health Agency
  • Worcester, MA
  • NPI 1346430253

  MA

  Medicare reassignment NPD
• Spectrum Health Systems Inc

  • Multi-Specialty Clinic/Center
  • Worcester, MA
  • NPI 1376827188
  NPD

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2019.

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1003137985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MILL ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH QUABBIN RETREAT",
            "address_2": "211 NORTH MAIN STREET",
            "city": "PETERSHAM",
            "state": "MA",
            "postal_code": "01366",
            "telephone_number": "978-724-0010",
            "fax_number": "978-724-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Mill St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "MA",
            "postal_code": "010854598",
            "country_code": "US",
            "telephone_number": "413-568-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "HEATHER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Kenneth Burch, MA, LMHC, LABA
• Donna Elli Bustin
• Megan Clark
• Teresa Connors-Macmillan
• Cynthia Dianne Crosson, ED.D., LICSW
• Mary Anne Forgues, R.N.
• Mary Lisa Freden, LISA FREDEN LMHC
• Doreen S Frost, D.C.
• Brittany Heck, OTD, OTR/L
• Stephen John Kieras

• All providers in Petersham, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.