Individual provider Active NPI

Nicholas Melchior Auerbach

  • Mental Health Counselor
  • Kingston, MA
National Provider Identifier
1275757189
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7689 Issued in MA
Practice address
62 Main St Ste 206
Kingston, MA 02364-3071
Phone
(774) 454-5866
Fax
(320) 388-1794
NPI assigned
Apr 12, 2007
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 7689 MA Primary

Addresses

Primary practice location

62 Main St Ste 206
Kingston, MA 02364-3071

Mailing address

62 Main St Ste 206
Kingston, MA 02364-3071
Phone (781) 332-4807

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
I20260212002051 MA Practitioner - Mental Health Counselor 1153801840 Practice locations: Kingston, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

62 Main St
Suite 206
Kingston, MA 02364-3046

62 Main St
Suite 206
Kingston, MA 02364-3071
Phone (774) 454-5866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7689MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1275757189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MAIN ST STE 206",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023643071",
            "telephone_number": "781-332-4807",
            "fax_number": "320-388-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MAIN ST STE 206",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023643071",
            "telephone_number": "774-454-5866",
            "fax_number": "320-388-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "NICHOLAS",
        "middle_name": "MELCHIOR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MA

Sources for this page

Verify at the official NPI Registry.