MICHELLE BLACKMORE
NPI 1609583624
Counselor - Mental Health in Worcester, MA

Active since October 31, 2022PECOS EnrolledAccepts Medicare Assignment
72 JACQUES AVE, WORCESTER, MA 01610(508) 860-1045 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Blackmore NPPES

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

MICHELLE BLACKMORE (NPI 1609583624) is an individual mental health provider in Worcester, Massachusetts, licensed in Massachusetts (LMHC10005079) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609583624
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE BLACKMORE
Location Address72 JACQUES AVEWorcester, MA 01610-2476
Mailing Address31 Taft RdSterling, MA 01564-2117
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 31, 2022
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
NPI 1609583624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MA · LMHC10005079
72 JACQUES AVE, Worcester, MA 01610

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle Blackmore 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 ID2365948908
PECOS Enrollment IDI20251002000099
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.

Other Providers at the Same Location NPPES 11

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

Clinic/Center (Primary Care)
72 JACQUES AVE
WORCESTER, MA 01610
Nurse Practitioner (Psychiatric/Mental Health)
72 JACQUES AVE
WORCESTER, MA 01610
Registered Nurse
72 JACQUES AVE, HEALTH HOME DEPARTMENT
WORCESTER, MA 01610
Counselor (Professional)
72 JACQUES AVE
WORCESTER, MA 01610
Registered Nurse (Psychiatric/Mental Health)
72 JACQUES AVE
WORCESTER, MA 01610
Behavior Analyst
72 JACQUES AVE
WORCESTER, MA 01610
Registered Nurse (Community Health)
72 JACQUES AVE
WORCESTER, MA 01610
Social Worker
72 JACQUES AVE
WORCESTER, MA 01610

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 Michelle Blackmore's NPI number?

The NPI number for Michelle Blackmore is 1609583624. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Michelle Blackmore located?

Michelle Blackmore practices at 72 Jacques Ave, Worcester, MA 01610. The listed phone number is (508) 860-1045.

What is Michelle Blackmore's specialty?

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

Is Michelle Blackmore enrolled in Medicare?

Yes. Michelle Blackmore 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.

When was this NPI record last updated?

The NPPES record for Michelle Blackmore was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.