Individual provider Active NPI

Holly Poirier, MA

  • Mental Health Counselor
  • Dudley, MA
National Provider Identifier
1467780700
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10930 Issued in MA
Practice address
161 W Main St
Dudley, MA 01571-3817
Phone
(774) 757-2254
Fax
(508) 949-6731
NPI assigned
Nov 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 10930 MA Primary

Addresses

Primary practice location

161 W Main St
Dudley, MA 01571-3817

Mailing address

3 Juniper LN
Dudley, MA 01571-3826
Phone (774) 757-2254

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
I20250225002606 MA Practitioner - Mental Health Counselor 2466972146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Worcester County Counseling, IncGroup PAC ID 5092235754, 8 clinicians

Practice addresses (Care Compare)

161 W Main St
Dudley, MA 01571-3817
Phone (774) 757-2254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10930MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester County Counseling, Inc CurrentSince Jan 6, 2025 Accepting new patients

Locations

161 W Main St
Dudley, MA 01571
Phone (508) 943-2944

Organizations & group practices 1

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": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1467780700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JUNIPER LN",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015713826",
            "telephone_number": "774-757-2254",
            "fax_number": "508-949-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W MAIN ST",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015713817",
            "telephone_number": "774-757-2254",
            "fax_number": "508-949-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "HOLLY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dudley, MA

Sources for this page

Verify at the official NPI Registry.