Individual provider Active NPI

Matt Taylor

  • Counselor
  • Fitchburg, MA
National Provider Identifier
1063854891
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
545 Westminster St
Fitchburg, MA 01420-4727
Phone
(978) 345-0685
Fax
(978) 345-8495
NPI assigned
Jul 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

545 Westminster St
Fitchburg, MA 01420-4727

Mailing address

545 Westminster St
Fitchburg, MA 01420-4727
Phone (978) 345-0685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826003170 MA Practitioner - Clinical Social Worker 0446750111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health and Human Services LLCGroup PAC ID 8729311840, 10 clinicians
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

20 High St
Suite 1
Waltham, MA 02453-0574
Phone (781) 242-2200

33 Boston Post Rd W
Suite 420
Marlborough, MA 01752-1867
Phone (508) 475-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Jul 14, 2025 Accepting new patients
Health and Human Services, LLC CurrentSince Feb 5, 2026 Accepting new patients
Luk Crisis Center Inc. PastSince Jan 9, 2013 Accepting new patients

Locations

33 Boston Post Rd W
Ste 420
Marlborough, MA 01752
Phone (508) 824-3673

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

20 High St
Ste 1
Waltham, MA 02453
Phone (781) 208-0390

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/luk/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1063854891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 WESTMINSTER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204727",
            "telephone_number": "978-345-0685",
            "fax_number": "978-345-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 WESTMINSTER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204727",
            "telephone_number": "978-345-0685",
            "fax_number": "978-345-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MATT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.