ETHAN SHERRERD WATTLEY LMHC
NPI 1194492611
Counselor - Mental Health in Northampton, MA

Active since August 23, 2021PECOS EnrolledAccepts Medicare Assignment
351 PLEASANT ST, STE B #172, NORTHAMPTON, MA 01060(802) 495-9853 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 30, 2026, Aug 23, 2021 (2 updates tracked since 2021).

About Ethan Sherrerd Wattley Lmhc NPPES

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

ETHAN SHERRERD WATTLEY LMHC (NPI 1194492611) is an individual mental health provider in Northampton, Massachusetts, licensed in Vermont (097.0134209) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194492611
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameETHAN SHERRERD WATTLEYCredential: LMHC
Location Address351 PLEASANT ST, STE B #172Northampton, MA 01060
Mailing Address351 Pleasant St, Ste B #172Northampton, MA 01060 · (802) 495-9853
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 23, 2021
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1194492611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in VT · 097.0134209✔ Licensed in CT · 4737
351 PLEASANT ST, Northampton, MA 01060

Accepted 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

Ethan Sherrerd Wattley Lmhc 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 ID941723720
PECOS Enrollment IDI20250402001909
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

2

Medicare enrollment records show Ethan Wattley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
199 OAKWOOD AVE
West Hartford, CT 06119
  • Reassigned Medicare billing, Connecticut and Massachusetts enrollments
  • Also billed through NPI 1326929019 (Massachusetts)
  • 3 clinicians in this Medicare group
Community/Behavioral Health
90 POST RD W
Westport, CT 06880
  • Reassigned Medicare billing, Connecticut enrollment
  • 8 clinicians in this Medicare group

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 2

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

Counselor (Mental Health)
351 PLEASANT ST, STE B #246
NORTHAMPTON, MA 01060
Behavior Analyst
351 PLEASANT ST
NORTHAMPTON, MA 01060

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 Ethan Wattley's NPI number?

The NPI number for Ethan Wattley is 1194492611. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Ethan Wattley located?

Ethan Wattley practices at 351 Pleasant St Ste B #172, Northampton, MA 01060. The listed phone number is (802) 495-9853.

What is Ethan Wattley's specialty?

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

Is Ethan Wattley enrolled in Medicare?

Yes. Ethan Wattley 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 organizations bill Medicare for Ethan Wattley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Wattley reassigns Medicare benefits to 2 organizations: Misterhealth LLC (West Hartford, CT) and Positive Directions - The Center For Prevention And Counseling Inc (Westport, CT). 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 Ethan Wattley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Wattley accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Ethan Wattley 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 Ethan Wattley was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.