Individual provider Active NPI

Deborah Hill

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1114450509
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
108 Grove St Ste LL11
Worcester, MA 01605-2677
Phone
(508) 304-7499
Fax
(774) 420-7255
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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 Primary

Addresses

Primary practice location

108 Grove St Ste LL11
Worcester, MA 01605-2677

Mailing address

108 Grove St Ste LL11
Worcester, MA 01605-2677
Phone (508) 304-7499

Other practice location 1

172 Lincoln St
Worcester, MA 01605-3750
Phone (508) 770-0511

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
I20260529000286 MA Practitioner - Mental Health Counselor 2365912573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 Grove St
Suite LL11
Worcester, MA 01605-2629

164 Main St
Boylston, MA 01505-1928

225 Parker Ave
Holden, MA 01520-2460

26 Tower PL
Fanwood, NJ 07023-1023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revidas LLC Mental Health CurrentSince Oct 6, 2024 Accepting new patients

Locations

108 Grove St
Ste LL11
Worcester, MA 01605
Phone (413) 200-8844

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1114450509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GROVE ST STE LL11",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052677",
            "telephone_number": "508-304-7499",
            "fax_number": "774-420-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GROVE ST STE LL11",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052677",
            "telephone_number": "508-304-7499",
            "fax_number": "774-420-7255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016053750",
            "country_code": "US",
            "telephone_number": "508-770-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.