Ellen-Joan Amick, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1382 Issued in MA

Practice address

57 E Main St
Suite 200
Westborough, MA 01581-1464

Phone

(508) 366-0406

Fax

(508) 366-6221

NPI assigned

Dec 1, 2008

Last updated

Dec 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Psych Services LLCGroup PAC ID 2961667498, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Advanced Psych Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
  • NPI 1750648689
  Medicare reassignment Care Compare group NPD
• Advanced Psych Services, LLC

  • Multi-Specialty Clinic/Center
  • Worcester, MA
  • NPI 1992199830
  NPD
• Staffier Associates Inc

  • Community/Behavioral Health Agency
  • Westborough, MA
  • NPI 1902968217
  NPD (past)

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1447405634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 BULLARD ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015202203",
            "telephone_number": "508-829-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E MAIN ST",
            "address_2": "SUITE 200",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811464",
            "telephone_number": "508-366-0406",
            "fax_number": "508-366-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMICK",
        "first_name": "ELLEN-JOAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "LM0525",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Healthcare Pca LLC
• American Healthcare Specialists LLC
• Ameridose, LLC
• Ameridose, LLC
• Daylin B Amesimeku, PA-C
• Karen G. Anderson, APRN
• Monique Anderson, LICSW
• Anthony G Moncton
• James Joseph Antonellis, LMHC
• Reem Antun Lago, D.M.D.

• Mental Health Counselor in Westborough, MA
• Providers in Westborough, 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 Dec 1, 2008; 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.