Active NPI
Jillian Soucie Buck, PHD, LMHC
- Mental Health Counselor
- Erving, MA
National Provider Identifier
1821957416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC10005268
- Practice address
- 83 State Rd
Erving, MA 01344-9732 - Phone
- (413) 768-7546
- NPI assigned
- Jan 19, 2026
- Last updated
- Jan 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC10005268 | MA | Primary |
Addresses
Primary practice location
83 State Rd
Erving, MA 01344-9732
Mailing address
83 State Rd
Erving, MA 01344-9732
Phone (413) 768-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC10005268 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1821957416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 STATE RD",
"city": "ERVING",
"state": "MA",
"postal_code": "013449732",
"telephone_number": "413-768-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 STATE RD",
"city": "ERVING",
"state": "MA",
"postal_code": "013449732",
"telephone_number": "413-768-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "JILLIAN",
"middle_name": "SOUCIE",
"name_prefix": "Dr.",
"credential": "PHD, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-19",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LMHC10005268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erving, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.