Individual provider Active NPI

John Edward Brelsford, PH.D.

  • Mental Health Counselor
  • Easthampton, MA
National Provider Identifier
1063548162
Registry record updated Jun 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 3063 Issued in MA
Practice address
175 Main St
Easthampton, MA 01027-2022
Phone
(413) 433-1775
NPI assigned
Feb 26, 2007
Last updated
Jun 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 3063 MA Primary

Addresses

Primary practice location

175 Main St
Easthampton, MA 01027-2022

Mailing address

418 Southampton Rd
Holyoke, MA 01040-9763
Phone (413) 433-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH 3063MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
John Brelsford, Sole Proprietor Mental Health Current Accepting new patients

Locations

123 Union St
Ste 204
Easthampton, MA 01027
Phone (413) 557-8330

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277510400000",
    "number": "1063548162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 SOUTHAMPTON RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409763",
            "telephone_number": "413-433-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MAIN ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010272022",
            "telephone_number": "413-433-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRELSFORD",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "MH 3063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.