Active NPI
Mary Nichols, LMHC, LLC
- Mental Health Counselor
- Boston, MA
National Provider Identifier
1609763259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MARY NICHOLS, LMHC, LLC
- Practice address
- 4 Brown Terrace #1
Boston, MA 02130 - Phone
- (508) 237-7294
- NPI assigned
- Jun 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Nichols, LMHC
- Title
- Owner
- Phone
- (617) 506-9409
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4 Brown Terrace #1
Boston, MA 02130
Mailing address
757 Gallivan Blvd Ste 1
Dorchester, MA 02122-3190
Phone (508) 237-7294
Other practice location 1
757 Gallivan Blvd Ste 1
Dorchester, MA 02122-3190
Phone (508) 237-7294
National Provider Directory
National Provider DirectoryLocations
757 Gallivan Blvd
Ste 1
Dorchester, MA 02122
Phone (508) 237-7294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753833600000",
"number": "1609763259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 GALLIVAN BLVD STE 1",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021223190",
"telephone_number": "508-237-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BROWN TERRACE #1",
"city": "BOSTON",
"state": "MA",
"postal_code": "02130",
"telephone_number": "508-237-7294"
}
],
"practiceLocations": [
{
"address_1": "757 Gallivan Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Dorchester",
"state": "MA",
"postal_code": "021223190",
"country_code": "US",
"telephone_number": "508-237-7294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MARY NICHOLS, LMHC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-18",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-506-9409",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.