ACTON COUNSELING ASSOCIATES — NPI 1497993190 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1497993190

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TC0700X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical

Box 32 Service Location & ZIP+4

110 HAVERHILL RD STE 218, AMESBURY, MA, 01913-2149

✓ 9-Digit EDI 837 ZIP+4 (01913-2149)

Practice Phone & Referral Fax

(978) 263-4381

Fax: (646) 219-7109

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1497993190 (ACTON COUNSELING ASSOCIATES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1497993190` (NPI-2 Organization / Facility)
Provider / Legal Name	ACTON COUNSELING ASSOCIATES
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: `103TC0700X` (Psychologist, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	110 HAVERHILL RD STE 218, AMESBURY, MA, 01913-2149
Practice Telephone / Fax	Tel: (978) 263-4381 \| Fax: (646) 219-7109
Administrative Mailing Address	110 HAVERHILL RD STE 218, AMESBURY, MA, 01913-2149
Enumeration & Last Sync	Enumerated: 2009-02-03 \| CMS Record Updated: 2023-07-27
Authorized Official	NICOLE CONNOLLY (CLINICAL PSYCHOLOGIST)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

110 HAVERHILL RD STE 218, AMESBURY, MA, 01913-2149

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Plain-English Taxonomy & CMS Crosswalk (103TC0700X)

What Does Taxonomy Code 103TC0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical) • CMS Code 68 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACTON COUNSELING ASSOCIATES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: MA \| License: `6277` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ACTON COUNSELING ASSOCIATES (NPI #1497993190)