Ethan Sherrerd Wattley, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

097.0134209 Issued in VT

Practice address

351 Pleasant St
Ste B #172
Northampton, MA 01060

Phone

(802) 495-9853

NPI assigned

Aug 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Positive Directions - the Center for Prevention and Counseling IncGroup PAC ID 6406109800, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ethan.wattley.p1@direct.wheelerclinic.nextgenshare.com

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.

• Positive Directions - the Center for Prevention and Counseling Inc

  • Community/Behavioral Health Agency
  • Westport, CT
  • NPI 1043455066
  Medicare reassignment Care Compare group NPD
• Positive Directions - the Center for Prevention and Counseling Inc

  • Community/Behavioral Health Agency
  • Westport, CT
  • NPI 1629217286
  NPD (past)
• Positive Directions - the Center for Prevention and Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westport, CT
  • NPI 1629126875
  NPD (past)

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1194492611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 PLEASANT ST",
            "address_2": "STE B #172",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "802-495-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PLEASANT ST",
            "address_2": "STE B #172",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "802-495-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTLEY",
        "first_name": "ETHAN",
        "middle_name": "SHERRERD",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "4737",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0134209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Wanamaker-Ordorica
• Amy T Wardell, RD. LDN
• Heather Wark, MD
• Binca C Warren, DMD
• Jennifer R Washington, RN
• Sheryl S Waxler
• Wayne Shim DMD LLC
• Robin Hamilton Bliss Wedell-Walker
• David Jonathan Weidenfeld, MSW, LICSW
• Thomas R. Weil, MD

• Mental Health Counselor in Northampton, MA
• Providers in Northampton, 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 Mar 30, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.