NICOLE PROVENCHER LMHC
NPI 1083443626
Counselor - Mental Health in Waltham, MA
About Nicole Provencher Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE PROVENCHER LMHC (NPI 1083443626) is an individual mental health provider in Waltham, Massachusetts, licensed in Massachusetts (LMHC10001085) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Provencher Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicole Provencher's NPI number?
The NPI number for Nicole Provencher is 1083443626. It was assigned to this individual provider in the NPPES registry on July 31, 2024.
Where is Nicole Provencher located?
Nicole Provencher practices at 675 Main St, Waltham, MA 02451. The listed phone number is (781) 893-5110.
What is Nicole Provencher's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nicole Provencher enrolled in Medicare?
Yes. Nicole Provencher is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicole Provencher was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Nicole Provencher, LMHC · NPI 1083443626
Mental Health provider in Waltham, Massachusetts. Individual provider, active in the CMS NPPES registry since July 31, 2024.
## Identity
- **NPI:** 1083443626 (Entity type: Individual)
- **Enumerated:** July 31, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LMHC10001085 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 675 MAIN ST, Waltham, MA 02451-0602
- **Phone:** (781) 893-5110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** July 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083443626) · Data from the CMS NPPES public registry.