Amelia Fazackerley, MT-BC, LMHC
NPI 1790494920 · Mental Health Counselor · Worcester, MA
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amelia Fazackerley, MT-BC, LMHC is a Mental Health Counselor provider in Worcester, MA (NPI 1790494920).
Provider details
- NPI number
- 1790494920
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MT-BC, LMHC
- Sex
- Female
- Sole proprietor
- No
- License
- LMHC10002923 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-16
- Last updated
- 2025-08-05
- Certified
- 2025-08-02
Frequently asked questions
- What is Amelia Fazackerley's NPI number?
- Amelia Fazackerley's National Provider Identifier (NPI) is 1790494920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amelia Fazackerley's specialty?
- Amelia Fazackerley is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Amelia Fazackerley located?
- Amelia Fazackerley's practice location on file with NPPES is 670 W Boylston St, Worcester, MA 01606-2092.
- What is Amelia Fazackerley's phone number?
- The practice phone number listed in the NPPES registry for Amelia Fazackerley is (508) 853-2300.
- Does Amelia Fazackerley accept Medicare?
- Amelia Fazackerley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amelia Fazackerley's NPI active?
- Yes — Amelia Fazackerley's NPI (1790494920) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.