Grace Njeri Ngumi, PMHNP-BC
NPI 1174137434ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Worcester, MA
Nurse Practitioner, Psych/Mental Health (PMHNP-BC) with Thrive Counseling LLC and 3 other groups, practicing in Worcester, Massachusetts. Their prescriptions cost Medicare Part D more than their services did: $22,949 for 497 claims, against $7,815 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 6 companies reporting payments in 2025, $781.33 in all, mostly food and beverage.
Overview
| NPI | 1174137434 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP-BC |
| Sole proprietor | Yes |
| NPI issued | Sep 3, 2020 |
| Last updated in NPPES | Jun 8, 2026 |
| Certified by provider | Jun 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | RN261116 | MA |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 2020039628 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 109 across 7 procedure codes |
| Paid by Medicare | $7,815 |
Part D prescriptions in 2024
| Prescriptions (claims) | 497 · 691 30-day fills |
|---|---|
| Patients | 44 |
| Total drug cost | $22,949 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Thrive Counseling LLCMidlothian, VA · 1,196 clinicians
- Holyoke Capital Jv, LLCHolyoke, MA · 32 clinicians
- Behavioral Healthcare ServicesWorcester, MA · 26 clinicians
- Massachusetts Psychiatric Services LLCSturbridge, MA · 13 clinicians
Industry payments (Open Payments)
- 2025$781.33 · 27 payments from 6 companies
- 2024$331.72 · 17 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $325.75 | 13 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $275.76 | 5 |
| Abbvie Inc. | $80.55 | 4 |
| Alkermes, Inc. | $48.09 | 3 |
| E.R. Squibb & Sons, L.L.C. | $28.28 | 1 |
What the 2025 payments were for
- Food and Beverage$781.33 · 27 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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