1. Home
  2. Directory
  3. Massachusetts
  4. Spencer
  5. Counselor
  6. NPI Profile

MS. NICOLE MARIE BOUCHER L.M.H.C.
NPI 1093854903
Counselor in Spencer, MA

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
185 MAIN STREET, SUITE 22, SPENCER, MA 01562(508) 885-0788(508) 885-1388 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Nicole Marie Boucher L.m.h.c. NPPES

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

MS. NICOLE MARIE BOUCHER L.M.H.C. (NPI 1093854903) is an individual counselor in Spencer, Massachusetts, licensed in Massachusetts (4698) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1093854903
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. NICOLE MARIE BOUCHERCredential: L.M.H.C.
Location Address185 MAIN STREET, SUITE 22Spencer, MA 01562
Mailing Address185 Main Street, Suite 22Spencer, MA 01562 · (508) 885-0788 · Fax (508) 885-1388
Phone(508) 885-0788
Fax(508) 885-1388
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 6, 2007
Last NPPES UpdateOctober 7, 2010
✔ NPI 1093854903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MA · 4698
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH000004698CC (MA)
185 MAIN STREET, Spencer, MA 01562
Open in Google Maps ↗

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 and accepts Medicare assignment

Ms. Nicole Marie Boucher L.m.h.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153768379
PECOS Enrollment IDI20240325000297
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 Reassignment

Medicare enrollment records show Nicole Boucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reliant Medical Group, Inc
10 mi
Family Medicine
5 NEPONSET ST
Worcester, MA 01606
  • Reassigned Medicare billing, Massachusetts enrollment
  • 718 clinicians in this Medicare group
NPI 1720017528 (508) 852-0600

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

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

MRS. MELISSA JANE AYANTOLA MS, LMHC
Counselor (Mental Health)
185 MAIN STREET
SPENCER, MA 01562
Worcester County (508) 342-5029

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 Boucher's NPI number?

The NPI number for Nicole Boucher is 1093854903. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Nicole Boucher located?

Nicole Boucher practices at 185 Main Street Suite 22, Spencer, MA 01562. The listed phone number is (508) 885-0788.

What is Nicole Boucher's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Nicole Boucher enrolled in Medicare?

Yes. Nicole Boucher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Boucher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Boucher reassigns Medicare benefits to Reliant Medical Group, Inc (Worcester, MA). The 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 Nicole Boucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Boucher accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Nicole Boucher 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 Nicole Boucher was last updated on October 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.