Individual provider Active NPI

Nicole M Nadeau, MA

  • Mental Health Counselor
  • Plymouth, MA
National Provider Identifier
1306903075
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC5000951 Issued in MA
Practice address
430 Court St Ste 3
Plymouth, MA 02360-7351
Phone
(857) 358-8750
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 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 LMHC5000951 MA Primary

Addresses

Primary practice location

430 Court St Ste 3
Plymouth, MA 02360-7351

Mailing address

35 Pilgrim Village Rd Apt 1503
Taunton, MA 02780-6951
Phone (508) 269-7085

Other practice location 1

61 Industrial Park Rd
South Bay Mental Health
Plymouth, MA 02360
Phone (508) 830-0000 ext. 87

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nnadeau@baystatecs.org BAY STATE COMMUNITY SERVICES, INC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMHC5000951MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1306903075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PILGRIM VILLAGE RD APT 1503",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806951",
            "telephone_number": "508-269-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 COURT ST STE 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607351",
            "telephone_number": "857-358-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Industrial Park Rd",
            "address_2": "South Bay Mental Health",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "02360",
            "country_code": "US",
            "telephone_number": "508-830-0000 x87",
            "fax_number": "508-746-8429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC5000951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnadeau@baystatecs.org",
            "affiliation": "Y",
            "affiliationName": "BAY STATE COMMUNITY SERVICES, INC.",
            "address_1": "430 Court St Ste 3",
            "city": "Plymouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023607351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.