AMELIA FAZACKERLEY MT-BC, LMHC
NPI 1790494920
Counselor - Mental Health in Worcester, MA
About Amelia Fazackerley Mt-bc, Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMELIA FAZACKERLEY MT-BC, LMHC (NPI 1790494920) is an individual mental health provider in Worcester, Massachusetts, licensed in Massachusetts (LMHC10002923) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amelia Fazackerley Mt-bc, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amelia Fazackerley's NPI number?
The NPI number for Amelia Fazackerley is 1790494920. It was assigned to this individual provider in the NPPES registry on November 16, 2022.
Where is Amelia Fazackerley located?
Amelia Fazackerley practices at 670 W Boylston St, Worcester, MA 01606. The listed phone number is (508) 853-2300.
What is Amelia Fazackerley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Amelia Fazackerley enrolled in Medicare?
Yes. Amelia Fazackerley is registered in the Medicare PECOS enrollment system.
What insurance does Amelia Fazackerley accept?
Health plans from Anthem Blue Cross and Blue Shield list Amelia Fazackerley 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 Amelia Fazackerley was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Amelia Fazackerley, MT-BC, LMHC · NPI 1790494920
Mental Health provider in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since November 16, 2022.
## Identity
- **NPI:** 1790494920 (Entity type: Individual)
- **Enumerated:** November 16, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LMHC10002923 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 670 W BOYLSTON ST, Worcester, MA 01606-2092
- **Phone:** (508) 853-2300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** August 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790494920) · Data from the CMS NPPES public registry.