Priyadarshini Tikku, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10000694 Issued in MA

Practice address

43 Broad St Ste B206
Hudson, MA 01749-2565

Phone

(781) 693-3200

Fax

(844) 439-7801

NPI assigned

Dec 8, 2023

Last updated

Dec 8, 2023By the provider in NPPES

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 names 1

• Priyadarshini Raina Former name

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

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

JBW Psychological Services LLCGroup PAC ID 6800169277, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• JBW Psychological Services LLC

  dba Essential Insights Counseling Center

  • Clinical Psychologist
  • Hudson, MA
  • NPI 1568996528
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1225805229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROAD ST STE B206",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492565",
            "telephone_number": "781-693-3200",
            "fax_number": "844-439-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROAD ST STE B206",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492565",
            "telephone_number": "781-693-3200",
            "fax_number": "844-439-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKKU",
        "first_name": "PRIYADARSHINI",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "10000694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRIYADARSHINI",
            "last_name": "RAINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Hudson, MA
• Providers in Hudson, MA by specialty
• Professional Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.