Mark Thomas Nickels
NPI 1124429840ActiveIndividual· Counselor, Mental Health· Ware, MA
Counselor, Mental Health with Behavioral Health Network Inc, practicing in Ware, Massachusetts. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1124429840 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 12, 2014 |
| Last updated in NPPES | Dec 11, 2023 |
| Certified by provider | Dec 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 11077 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MA) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Behavioral Health Network IncSpringfield, MA · 150 clinicians
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