BLACKBIRD COUNSELING
NPI 1235746546
Counselor - Mental Health in Pembroke, MA

Active since September 30, 2020
28 RIVERSIDE DR STE 270, PEMBROKE, MA 02359(774) 773-6300 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 25, 2022, Sep 30, 2020 (2 updates tracked since 2020).

About Blackbird Counseling NPPES

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

BLACKBIRD COUNSELING (NPI 1235746546) is a healthcare organization registered as a mental health in Pembroke, Massachusetts and active in the NPI registry since September 2020. The organization lists Justine Carlucci, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1235746546
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBLACKBIRD COUNSELING
Location Address28 RIVERSIDE DR STE 270Pembroke, MA 02359-4947
Mailing Address28 Riverside Dr Ste 270Pembroke, MA 02359-4947 · (774) 773-6300
Organization SubpartNo
Authorized OfficialJustine CarlucciCo-owner · (339) 235-5116
Enumeration DateSeptember 30, 2020
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1235746546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
28 RIVERSIDE DR STE 270, Pembroke, MA 02359

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blackbird Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Blackbird Counseling, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Marriage and Family Therapist
NPI 1699114934
28 RIVERSIDE DR STE 270
Pembroke, MA 02359
(339) 235-5116
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1528386653
288 BEDFORD ST
Whitman, MA 02382
(781) 447-6425
✔ PECOS9.4 mi
Mental Health Counselor
NPI 1891077228
36 CORDAGE PARK CIR
Plymouth, MA 02360
(508) 830-3444
✔ PECOS✔ Accepts Medicare10 mi

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

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 Blackbird Counseling's NPI number?

The NPI number for Blackbird Counseling is 1235746546. It was assigned to this organization in the NPPES registry on September 30, 2020.

Where is Blackbird Counseling located?

Blackbird Counseling is located at 28 Riverside Dr Ste 270, Pembroke, MA 02359. The listed phone number is (774) 773-6300.

What is Blackbird Counseling's specialty?

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

Is Blackbird Counseling enrolled in Medicare?

Yes. Blackbird Counseling is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blackbird Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Blackbird Counseling, in Marriage and Family Therapist and Mental Health Counselor. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Blackbird Counseling accept?

Health plans from Anthem Blue Cross and Blue Shield list Blackbird Counseling 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 Blackbird Counseling was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.