Individual provider Active NPI

Mary Elizabeth Nichols, M.ED., LMHC

  • Mental Health Counselor
  • Dorchester, MA
National Provider Identifier
1689268906
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10002064 Issued in MA
Practice address
780 William T Morrissey Blvd Apt 531
Dorchester, MA 02122-3762
Phone
(508) 237-7294
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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 LMHC10002064 MA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

780 William T Morrissey Blvd Apt 531
Dorchester, MA 02122-3762

Mailing address

780 William T Morrissey Blvd Apt 531
Dorchester, MA 02122-3762
Phone (508) 237-7294

Other practice location 1

8 Farnham St
Boston, MA 02119-2962
Phone (617) 971-9360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • 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
I20250603000900 MA Order and Referring Only - Mental Health Counselor 8527577444

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope House Inc. PastSince Apr 1, 2024 Accepting new patients

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1689268906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 WILLIAM T MORRISSEY BLVD APT 531",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223762",
            "telephone_number": "508-237-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 WILLIAM T MORRISSEY BLVD APT 531",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223762",
            "telephone_number": "508-237-7294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Farnham St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021192962",
            "country_code": "US",
            "telephone_number": "617-971-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "M.ED., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002064",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

Verify at the official NPI Registry.