Individual provider Active NPI

Jean Spence Tatis, M.ED, LMHC, NCC

  • Mental Health Counselor
  • Leominster, MA
National Provider Identifier
1003822719
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6238 Issued in MA
Practice address
45 Summer St
Leominster, MA 01453-3228
Phone
(508) 421-4451
Fax
(508) 795-1338
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6238 MA Primary

Addresses

Primary practice location

45 Summer St
Leominster, MA 01453-3228

Mailing address

45 Summer St
Leominster, MA 01453-3228
Phone (508) 421-4451

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XOtherMAMENTAL HEALTH COUNSELOR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250211001670 MA Practitioner - Mental Health Counselor 0244760940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

72 Jaques Ave
Worcester, MA 01610-2476

72 Jaques Ave
Worcester, MA 01610-2480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthlink, Inc. CurrentSince Nov 15, 2024 Accepting new patients
Community Healthlink Inc Current Accepting new patients

Locations

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

335 Chandler St
Worcester, MA 01602
Phone (508) 753-2967

Organizations & group practices 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1003822719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SUMMER ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533228",
            "telephone_number": "508-421-4451",
            "fax_number": "508-795-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SUMMER ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533228",
            "telephone_number": "508-421-4451",
            "fax_number": "508-795-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATIS",
        "first_name": "JEAN",
        "middle_name": "SPENCE",
        "name_prefix": "Ms.",
        "credential": "M.ED, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH  COUNSELOR",
            "identifier": "101YM0800X",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.