MS. NICOLE MARIE BOUCHER (L.M.H.C.) – Counselor, NPI 1093854903

MS. NICOLE MARIE BOUCHER (L.M.H.C.) is a healthcare provider. based in Spencer, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials L.M.H.C.. They hold a License No. MH000004698CC (MA). The NPI Number for MS. NICOLE MARIE BOUCHER (L.M.H.C.) is 1093854903

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MS. NICOLE MARIE BOUCHER (L.M.H.C.)
NPI
1093854903
Phone
(508) 885-0788
Address
185 MAIN STREET
Enumeration Date
6 February 2007
Last Update Date
7 October 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083687820
Graduation Year
1990 (36 years ago)
PAC ID
1153768379
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20240325000297
Address ID
MA015452673SH378XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for MS. NICOLE MARIE BOUCHER (L.M.H.C.)

  • 185 MAIN STREET

    SUITE 22

    SPENCER, MA 01562

    Phone: (508) 885-0788

    Fax: (508) 885-1388

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240325000297IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01562)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

Where can patients find MS. NICOLE MARIE BOUCHER (L.M.H.C.)'s NPI?
You can confirm MS. NICOLE MARIE BOUCHER (L.M.H.C.) with NPI 1093854903; it appears in the national provider directory.
Is MS. NICOLE MARIE BOUCHER (L.M.H.C.) currently active in the NPI registry?
CMS-published data lists MS. NICOLE MARIE BOUCHER (L.M.H.C.) as an active registrant.
What field does MS. NICOLE MARIE BOUCHER (L.M.H.C.) work in?
You can think of MS. NICOLE MARIE BOUCHER (L.M.H.C.) as practicing within Counselor. Clinical services aligned with this taxonomy classification.
What location shows for MS. NICOLE MARIE BOUCHER (L.M.H.C.)?
We surface Spencer, Massachusetts for MS. NICOLE MARIE BOUCHER (L.M.H.C.) based on available NPPES addresses.
Is MS. NICOLE MARIE BOUCHER (L.M.H.C.) a real provider?
This page reflects official NPPES data for NPI 1093854903. Always confirm identity and privileges with the practice and licensing boards.

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