Jacqueline Fick Cleere, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

78 Burncoat St Ste 6
Worcester, MA 01605-1350

Phone

(781) 355-6521

NPI assigned

Apr 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: No
• 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

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.

• The May Institute, Inc

  • Behavior Analyst
  • Randolph, MA
  • NPI 1356318125
  NPD (past)

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1194102293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BURNCOAT ST STE 6",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051350",
            "telephone_number": "781-355-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BURNCOAT ST STE 6",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051350",
            "telephone_number": "781-355-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICK CLEERE",
        "first_name": "JACQUELINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026265E",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Ferruolo
• John A Ferullo, MD
• Elizabeth Ferzacca
• Nicholas R Feucht, O.D.
• Julia M. Feudo, M.D.
• James E. Fidrocki, MD
• Aubrie Jean Field, OTR/L
• Deborah Carmen Field, MD
• Nancy Field, P.T.
• David R Fields, M.D.

• Mental Health Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.