NPIMap

Organization Active NPI

Acton Counseling Associates

  • Clinical Psychologist
  • Amesbury, MA
National Provider Identifier
1497993190
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6277 Issued in MA
Legal business name
ACTON COUNSELING ASSOCIATES
Practice address
110 Haverhill Rd Ste 218
Amesbury, MA 01913-2149
Phone
(978) 263-4381
Fax
(646) 219-7109
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Dr. Nicole Ferrell Connolly, PH DNPI 1558324558
Title
Clinical Psychologist
Phone
(978) 263-4381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6277 MA Primary

Addresses

Primary practice location

110 Haverhill Rd Ste 218
Amesbury, MA 01913-2149

Mailing address

110 Haverhill Rd Ste 218
Amesbury, MA 01913-2149
Phone (978) 263-4381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090310000412 MA Part B Supplier - Clinic/Group Practice 6103982582 Receives reassigned benefits from 1 practitioner
Practice locations: Acton, MA

National Provider Directory

National Provider Directory

Locations

77 Great Rd
Ste 201
Acton, MA 01720
Phone (978) 263-4381

110 Haverhill Rd
Ste 218
Amesbury, MA 01913
Phone (978) 263-4381

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1497993190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 218",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132149",
            "telephone_number": "978-263-4381",
            "fax_number": "646-219-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 218",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132149",
            "telephone_number": "978-263-4381",
            "fax_number": "646-219-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTON COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "FERRELL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "978-263-4381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.