NICOLE BERTHIAUME (MS, LMHC) – Counselor, NPI 1750448247

NICOLE BERTHIAUME (MS, LMHC) is a healthcare provider. based in Groton, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LMHC. They hold a License No. 11014 (MA). The NPI Number for NICOLE BERTHIAUME (MS, LMHC) is 1750448247

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE BERTHIAUME (MS, LMHC)
NPI
1750448247
Phone
(781) 551-0999
Address
120 BOSTON RD STE 1
Enumeration Date
3 January 2007
Last Update Date
12 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5082979728
Graduation Year
2013 (13 years ago)
PAC ID
6204345507
Group Practice PAC ID
6901866706
Professional Enrollment ID
I20250529003260
Address ID
MA015015709AU489XXSTXX342
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

Provider Addresses for NICOLE BERTHIAUME (MS, LMHC)

  • 120 BOSTON RD STE 1

    GROTON, MA 014501860

    Phone: (781) 551-0999

    Type: Mailing

  • 172, Lincoln Street, Lincoln Square, Chandler Hill, Worcester, Worcester County, Massachusetts, 01605, United States

    WORCESTER, MA 016053750

    Phone: (508) 770-0511

    Fax: (508) 770-0875

    Type: Mailing

  • 185 MAIN ST

    SPENCER, MA 015621755

    Phone: (508) 885-0788

    Fax: (877) 252-9826

    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: 2025-05-29

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
I20250529003260IMental 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 01450)

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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: 6901866706View full group profile
NameSpecialtyState
Clinical PsychologistMA
Clinical Social WorkerMA
Mental Health CounselorRI
-MA
Nurse PractitionerMA
Clinical Social WorkerMA
Clinical Social WorkerMA
-MA
Clinical Social WorkerMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

Does NICOLE BERTHIAUME (MS, LMHC) have a public NPI I can cite?
Public records show NICOLE BERTHIAUME (MS, LMHC) under NPI 1750448247.
Should I treat NICOLE BERTHIAUME (MS, LMHC) as an active provider?
Patients and plans typically see NICOLE BERTHIAUME (MS, LMHC) as active in the national extract.
What services align with NICOLE BERTHIAUME (MS, LMHC)'s listing?
NICOLE BERTHIAUME (MS, LMHC)'s public classification highlights Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICOLE BERTHIAUME (MS, LMHC)?
NICOLE BERTHIAUME (MS, LMHC) is associated with Groton, Massachusetts in the same public data insurers reference.
Can I export NICOLE BERTHIAUME (MS, LMHC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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