Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle Blackmore

Individual provider Mental Health Counselor · NPI 1609583624

Michelle Blackmore is a Mental Health Counselor in Worcester, Massachusetts. Qualified in 2023, 3 years ago. Practices with Northeast Health Services LLC, a 469-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2022
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Practice location Address checks out

72 Jacques Ave
Worcester, MA 01610-2476
Phone: (508) 860-1045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LMHC10005079 (MA)

Record details

NPI number1609583624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address31 Taft Rd, Sterling, MA 01564-2117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Health Services Llc — 469 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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