ELLEN-JOAN AMICK (LMHC) – Mental Health Counselor, NPI 1447405634

ELLEN-JOAN AMICK (LMHC) is a healthcare provider. based in Westborough, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. 1382 (MA). The NPI Number for ELLEN-JOAN AMICK (LMHC) is 1447405634

Main info

Female
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN-JOAN AMICK (LMHC)
NPI
1447405634
Phone
(508) 366-0406
Address
57 E MAIN ST
Enumeration Date
1 December 2008
Last Update Date
1 December 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087533220
Graduation Year
1990 (36 years ago)
PAC ID
2668825381
Group Practice PAC ID
2961667498
Professional Enrollment ID
I20240130001406
Address ID
MA016052073WO425XXNXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

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Provider Addresses for ELLEN-JOAN AMICK (LMHC)

  • 57, East Main Street, Westborough, Worcester County, Massachusetts, 01581, United States

    SUITE 200

    WESTBOROUGH, MA 015811464

    Phone: (508) 366-0406

    Fax: (508) 366-6221

    Type: Location

  • 724, Bullard Street, Unionville, Holden, Worcester County, Massachusetts, 01522, United States

    HOLDEN, MA 015202203

    Phone: (508) 829-7291

    Type: Mailing

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: 2024-01-30

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
I20240130001406IMental 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 01581)

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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: 2961667498View full group profile
NameSpecialtyState
P S Y C H I A T R YMA
Nurse PractitionerMA
Clinical PsychologistMA
Mental Health CounselorMA
-MA
P S Y C H I A T R YMA
Clinical PsychologistMA
Clinical Social WorkerMA
Mental Health CounselorMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Is ELLEN-JOAN AMICK (LMHC) listed with a National Provider Identifier?
Yes — ELLEN-JOAN AMICK (LMHC) has NPI 1447405634 on file in the registry.
Would ELLEN-JOAN AMICK (LMHC) appear as active to a payer?
You can treat ELLEN-JOAN AMICK (LMHC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for ELLEN-JOAN AMICK (LMHC)?
At a glance, ELLEN-JOAN AMICK (LMHC) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ELLEN-JOAN AMICK (LMHC)?
Travel planning: use Westborough, Massachusetts as the reference point for ELLEN-JOAN AMICK (LMHC), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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