Individual provider Active NPI

Katherine Melican, MS, LMHC

  • Mental Health Counselor
  • Marlborough, MA
National Provider Identifier
1659954030
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10002690 Issued in MA
Practice address
340 Maple St
Marlborough, MA 01752-2494
Phone
(508) 353-0415
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC10002690 MA Primary

Addresses

Primary practice location

340 Maple St
Marlborough, MA 01752-2494

Mailing address

340 Maple St Ste 400
Marlborough, MA 01752-3200
Phone (508) 353-0415

Other practice location 1

11 River St
Wellesley, MA 02481-2017
Phone (781) 431-1177

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
I20240913002656 MA Practitioner - Mental Health Counselor 9234679473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc. Current Accepting new patients
Colony Care Inc Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Advocates, Inc CurrentSince Sep 6, 2024 Accepting new patients
Advocates, Inc CurrentSince Sep 6, 2024 Accepting new patients

Locations

1881 Worcester Rd
Framingham, MA 01701

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

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

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

11 River St
Wellesley Hills, MA 02481
Phone (781) 237-7979

11 River St
Ste 1
Wellesley Hls, MA 02481
Phone (508) 695-7447

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1659954030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAPLE ST STE 400",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523200",
            "telephone_number": "508-353-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAPLE ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522494",
            "telephone_number": "508-353-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 River St",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024812017",
            "country_code": "US",
            "telephone_number": "781-431-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELICAN",
        "first_name": "KATHERINE",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.