MRS. SUE ELLEN DAIGLE-GILLIS (LMHC) – Mental Health Counselor, NPI 1578656534

MRS. SUE ELLEN DAIGLE-GILLIS (LMHC) is a healthcare provider. based in Brockton, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. LMHC3709 (MA). The NPI Number for MRS. SUE ELLEN DAIGLE-GILLIS (LMHC) is 1578656534

Main info

Female
55 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUE ELLEN DAIGLE-GILLIS (LMHC)
NPI
1578656534
Phone
(774) 826-1656
Address
940 BELMONT ST
Enumeration Date
2 October 2006
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552847483
Graduation Year
1971 (55 years ago)
PAC ID
2264974104
Group Practice PAC ID
0749458420
Professional Enrollment ID
I20240607000408
Address ID
MA024205313LE1666XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

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Provider Addresses for MRS. SUE ELLEN DAIGLE-GILLIS (LMHC)

  • VA Boston Healthcare System - Brockton, 940, Belmont Street, Brockton, Plymouth County, Massachusetts, 02301, United States

    VA MEDICAL CENTER

    BROCKTON, MA 023015596

    Phone: (774) 826-1656

    Fax: (774) 826-1655

    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: 2024-06-07

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
I20240607000408IMental 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 02301)

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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: 0749458420View full group profile
NameSpecialtyState
Mental Health CounselorTX
Clinical Social WorkerTX
Mental Health CounselorPA
Mental Health CounselorGA
Mental Health CounselorGA
Clinical Social WorkerMA
Mental Health CounselorTX
Mental Health CounselorPA
Clinical Social WorkerMI
Mental Health CounselorGA

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. SUE ELLEN DAIGLE-GILLIS (LMHC)'s NPI?
Yes. MRS. SUE ELLEN DAIGLE-GILLIS (LMHC) is listed with NPI 1578656534 in the public NPI dataset.
Can I rely on MRS. SUE ELLEN DAIGLE-GILLIS (LMHC) being an active provider?
As of the registry snapshot, MRS. SUE ELLEN DAIGLE-GILLIS (LMHC) is marked active.
What is MRS. SUE ELLEN DAIGLE-GILLIS (LMHC)'s specialty?
The listing groups MRS. SUE ELLEN DAIGLE-GILLIS (LMHC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is MRS. SUE ELLEN DAIGLE-GILLIS (LMHC) based?
MRS. SUE ELLEN DAIGLE-GILLIS (LMHC) is tied to Brockton, Massachusetts in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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