NPIMap

Organization Active NPI

Counseling & Assessment Clinic of Worcester, LLC

  • Community/Behavioral Health Agency
  • Worcester, MA
National Provider Identifier
1134578719
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4CKZ Issued in MA
Legal business name
COUNSELING & ASSESSMENT CLINIC OF WORCESTER, LLC
Practice address
255 Park Ave Ste 412
Worcester, MA 01609-1989
Phone
(508) 756-5400
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Dr. Jennifer J Hylton, PSY.D.NPI 1457339699
Title
Executive Director
Phone
(508) 756-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4CKZ MA Primary

Addresses

Primary practice location

255 Park Ave Ste 412
Worcester, MA 01609-1989

Mailing address

38 Front St
5TH Floor
Worcester, MA 01608-1732
Phone (508) 756-5499

Other practice location 1

33 Electric Ave Ste 204
Fitchburg, MA 01420-7954
Phone (978) 345-9400

Other practice location 2

38 Front St
5th Floor
Worcester, MA 01608-1732
Phone (508) 756-5499 ext. 101

Other identifiers 1

IdentifierTypeStateIssuer
1894196MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Counseling Assessment Clin4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

33 Electric Ave
Ste 204
Fitchburg, MA 01420
Phone (978) 345-9400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1134578719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 FRONT ST",
            "address_2": "5TH FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081732",
            "telephone_number": "508-756-5499",
            "fax_number": "508-756-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 412",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091989",
            "telephone_number": "508-756-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Electric Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014207954",
            "country_code": "US",
            "telephone_number": "978-345-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Front St",
            "address_2": "5th Floor",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081732",
            "country_code": "US",
            "telephone_number": "508-756-5499 x101",
            "fax_number": "508-756-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING & ASSESSMENT CLINIC OF WORCESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "HYLTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-756-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "4CKZ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1894196",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.