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MS. JUSTINA TAMBEAU MA
NPI 1063976603
Counselor - Mental Health in Worcester, MA

Active since January 28, 2019PECOS Enrolled
340 MAIN ST STE 818, WORCESTER, MA 01608(508) 752-3969 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2024, Jan 28, 2019 (2 updates tracked since 2019).

About Ms. Justina Tambeau Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JUSTINA TAMBEAU MA (NPI 1063976603) is an individual mental health provider in Worcester, Massachusetts, licensed in Massachusetts (13238) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063976603
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JUSTINA TAMBEAUCredential: MA
Location Address340 MAIN ST STE 818Worcester, MA 01608-1604
Mailing Address340 Main St Ste 818Worcester, MA 01608-1604 · (508) 752-3969
Phone(508) 752-3969
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 28, 2019
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1063976603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 13238
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
340 MAIN ST STE 818, Worcester, MA 01608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Justina Tambeau Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547796013
PECOS Enrollment IDI20241206001572
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Justina Tambeau reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Connections, Inc.
18 mi
Federally Qualified Health Center (FQHC)
14 MANNING AVENUE
Leominster, MA 01453
  • Reassigned Medicare billing, Massachusetts enrollment
  • 124 clinicians in this Medicare group
NPI 1891953048 (978) 847-0110
Supportive Behavioral Care Of Ma LLC
29 mi
Clinical
150 LINCOLN ST
Needham, MA 02492
  • Reassigned Medicare billing, Massachusetts enrollment
  • 240 clinicians in this Medicare group
NPI 1780115519 (718) 298-4375
Supportive Behavioral Care Of Mass LLC
36 mi
Psychologist
11 NORTH ST
Stoneham, MA 02180
  • Reassigned Medicare billing, Massachusetts enrollment
  • 66 clinicians in this Medicare group
NPI 1932914223 (718) 506-1115
Thrive Counseling LLC
514 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Massachusetts enrollment
  • 250 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA DICKERMAN
Social Worker (Clinical)
340 MAIN ST STE 818
WORCESTER, MA 01608
Worcester County (508) 791-4976
NICOLE BAUER
Counselor (Mental Health)
340 MAIN ST STE 818
WORCESTER, MA 01608
Worcester County (508) 791-7976
MS. MELANIE GRIECO LCSW
Social Worker (Clinical)
340 MAIN ST STE 818
WORCESTER, MA 01608
Worcester County (508) 791-4976
MICHAEL FREILICH
Counselor (Mental Health)
340 MAIN ST STE 818
WORCESTER, MA 01608
Worcester County (508) 752-3969
YONATAN STERNBERG
Behavior Analyst
340 MAIN ST STE 818
WORCESTER, MA 01608
Worcester County (508) 752-3969
SARAH MARIE KEDDY M.ED
Student in an Organized Health Care Education/Training Program
340 MAIN ST STE 818
WORCESTER, MA 01608
Worcester County (508) 791-4976
LAUREN WENTZELL
Counselor (Mental Health)
340 MAIN ST STE 818
WORCESTER, MA 01608
Worcester County (508) 791-4976
MICHAEL C. ULETT
Counselor (Mental Health)
340 MAIN ST STE 818
WORCESTER, MA 01608
Worcester County (508) 791-4976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justina Tambeau's NPI number?

The NPI number for Justina Tambeau is 1063976603. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Justina Tambeau located?

Justina Tambeau practices at 340 Main St Ste 818, Worcester, MA 01608. The listed phone number is (508) 752-3969.

What is Justina Tambeau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Justina Tambeau enrolled in Medicare?

Yes. Justina Tambeau is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justina Tambeau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justina Tambeau reassigns Medicare benefits to 4 organizations: Community Health Connections, Inc. (Leominster, MA), Supportive Behavioral Care Of Ma LLC (Needham, MA), Supportive Behavioral Care Of Mass LLC (Stoneham, MA) and Thrive Counseling LLC (Lynchburg, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justina Tambeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justina Tambeau accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Justina Tambeau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justina Tambeau was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.