MRS. NANCY HENDRICKSON HADDAD (LMHC) – Mental Health Counselor, NPI 1114062817

MRS. NANCY HENDRICKSON HADDAD (LMHC) is a healthcare provider. based in Everett, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. 4383 (MA). The NPI Number for MRS. NANCY HENDRICKSON HADDAD (LMHC) is 1114062817

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NANCY HENDRICKSON HADDAD (LMHC)
NPI
1114062817
Phone
(781) 388-6242
Address
173 CHELSEA ST
Enumeration Date
20 February 2007
Last Update Date
15 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813886200
Graduation Year
1985 (41 years ago)
PAC ID
8921442195
Group Practice PAC ID
2062488000
Professional Enrollment ID
I20240215001269
Address ID
MA021494632EV173XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for MRS. NANCY HENDRICKSON HADDAD (LMHC)

  • 173 CHELSEA ST

    TRI CITY MENTAL HEALTH CENTER

    EVERETT, MA 021494632

    Phone: (781) 388-6242

    Fax: (617) 387-1089

    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: 2024-02-15

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
I20240215001269IMental 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 02149)

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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: 2062488000View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MRS. NANCY HENDRICKSON HADDAD (LMHC) in U.S. healthcare records?
The official identifier for MRS. NANCY HENDRICKSON HADDAD (LMHC) is NPI 1114062817.
Is MRS. NANCY HENDRICKSON HADDAD (LMHC) still an active registrant?
MRS. NANCY HENDRICKSON HADDAD (LMHC) carries an active NPI according to the public dataset.
How would a patient describe MRS. NANCY HENDRICKSON HADDAD (LMHC)'s focus?
For MRS. NANCY HENDRICKSON HADDAD (LMHC), the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MRS. NANCY HENDRICKSON HADDAD (LMHC) located near Everett?
MRS. NANCY HENDRICKSON HADDAD (LMHC) currently maps to Everett, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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