DENISE BRODOCK-NICOTERA
NPI 1285005165
Counselor - Mental Health in Lawrence, MA

Active since October 17, 2015PECOS EnrolledAccepts Medicare Assignment
360 MERRIMACK ST, BUILDING 9 ENTRANCE H, LAWRENCE, MA 01843(978) 688-4830(978) 688-4901 Get Directions Write a Review

NPPES record last updated: October 17, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Denise Brodock-nicotera NPPES

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

DENISE BRODOCK-NICOTERA (NPI 1285005165) is an individual mental health provider in Lawrence, Massachusetts and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1285005165
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDENISE BRODOCK-NICOTERA
Location Address360 MERRIMACK ST, BUILDING 9 ENTRANCE HLawrence, MA 01843-1740
Mailing Address360 Merrimack St, Building 9 Entrance HLawrence, MA 01843-1740 · (978) 688-4830 · Fax (978) 688-4901
Fax(978) 688-4901
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 17, 2015
✔ NPI 1285005165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
360 MERRIMACK ST, Lawrence, MA 01843

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

Denise Brodock-nicotera 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 ID5890148167
PECOS Enrollment IDI20240202001492
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 Denise Brodock-nicotera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1115 W CHESTNUT ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 120 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 20

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

Counselor (Professional)
360 MERRIMACK ST
LAWRENCE, MA 01843
Behavior Technician
360 MERRIMACK ST
LAWRENCE, MA 01843
Behavior Analyst
360 MERRIMACK ST
LAWRENCE, MA 01843
Behavior Technician
360 MERRIMACK ST
LAWRENCE, MA 01843
Nurse Practitioner (Family)
360 MERRIMACK ST
LAWRENCE, MA 01843
Clinic/Center (Health Service)
360 MERRIMACK ST
LAWRENCE, MA 01843
Counselor
360 MERRIMACK ST, BUILDING 9 ENTRANCE H
LAWRENCE, MA 01843
Registered Nurse
360 MERRIMACK ST
LAWRENCE, MA 01843

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 Denise Brodock-nicotera's NPI number?

The NPI number for Denise Brodock-nicotera is 1285005165. It was assigned to this individual provider in the NPPES registry on October 17, 2015.

Where is Denise Brodock-nicotera located?

Denise Brodock-nicotera practices at 360 Merrimack St Building 9 Entrance H, Lawrence, MA 01843. The listed phone number is (978) 688-4830.

What is Denise Brodock-nicotera's specialty?

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

Is Denise Brodock-nicotera enrolled in Medicare?

Yes. Denise Brodock-nicotera 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 Denise Brodock-nicotera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Brodock-nicotera reassigns Medicare benefits to Sb Transitional Sub, LLC (Brockton, 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 Denise Brodock-nicotera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Denise Brodock-nicotera was last updated on October 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.