Individual provider Active NPI

Tammy Jayne Thivierge

  • Addiction (Substance Use Disorder) Counselor
  • Chelsea, MA
National Provider Identifier
1346770013
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
175 Crescent Ave
Chelsea, MA 02150-3009
Phone
(617) 889-8779
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MA Primary

Addresses

Primary practice location

175 Crescent Ave
Chelsea, MA 02150-3009

Mailing address

125 N Elm St
Westfield, MA 01085-3464
Phone (413) 568-6600

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
I20231228003701 MA Practitioner - Mental Health Counselor 4981054285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Practice addresses (Care Compare)

340 Maple St
Suite 400
Marlborough, MA 01752-3200
Phone (508) 485-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc CurrentSince Jan 1, 2024 Accepting new patients
Advocates, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Community Physicians PC Past Accepting new patients
Community Health Care, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Locations

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

1881 Worcester Rd
Framingham, MA 01701

340 Maple St
Ste 400
Marlborough, MA 01752
Phone (508) 485-9300

340 Maple St
Marlborough, MA 01752
Phone (508) 485-7779

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1346770013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N ELM ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853464",
            "telephone_number": "413-568-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CRESCENT AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021503009",
            "telephone_number": "617-889-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIVIERGE",
        "first_name": "TAMMY",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.