Individual provider Active NPI

Michelle Meckler, LMHC

  • Mental Health Counselor
  • Nantucket, MA
National Provider Identifier
1750685459
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8857 Issued in MA
Practice address
20 Vesper Lane
L-1 Gouin Village
Nantucket, MA 02554
Phone
(508) 228-2689
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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 8857 MA Primary

Addresses

Primary practice location

20 Vesper Lane
L-1 Gouin Village
Nantucket, MA 02554

Mailing address

159 Main St Apt C
Nantucket, MA 02554-2277
Phone (508) 221-2396

Other practice location 1

3 Freedom Sq
Nantucket, MA 02554-4040
Phone (508) 221-2396

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
I20260408003337 MA Practitioner - Mental Health Counselor 4082080825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 Vesper LN
Unit L1
Nantucket, MA 02554-4397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairwinds-Nantuckets Counseling Center CurrentSince Feb 23, 2026 Accepting new patients
Fairwinds-Nantucket'S Counseling Center, Inc PastSince Feb 23, 2026 Accepting new patients

Locations

20 Vesper Ln
Unit L1
Nantucket, MA 02554
Phone (508) 228-2689

Interoperability endpoints

  • Direct secure messaging: family&childrensservicesofnantucket.michellemeckler@132055.advancedmd-direct.com

Organizations & group practices 2

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1750685459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MAIN ST APT C",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542277",
            "telephone_number": "508-221-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VESPER LANE",
            "address_2": "L-1 GOUIN VILLAGE",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "02554",
            "telephone_number": "508-228-2689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Freedom Sq",
            "address_purpose": "LOCATION",
            "city": "Nantucket",
            "state": "MA",
            "postal_code": "025544040",
            "country_code": "US",
            "telephone_number": "508-221-2396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MECKLER",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

Verify at the official NPI Registry.