Individual provider Active NPI

Jordan Gys, PSS

  • Counselor
  • Worcester, MA
National Provider Identifier
1164184826
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
108 Grove St Ste 200
Worcester, MA 01605-2651
Phone
(866) 420-5113
NPI assigned
Oct 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MA Primary

Addresses

Primary practice location

108 Grove St Ste 200
Worcester, MA 01605-2651

Mailing address

PO Box 27864
Belfast, ME 04915-2030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordan.gys@eleanorhealth.com Eleanor Health Professional MA, PLLC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional Ma, PLLC CurrentSince Oct 17, 2021 Accepting new patients

Locations

108 Grove St
Ste 200
Worcester, MA 01605
Phone (774) 460-8436

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1164184826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27864",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GROVE ST STE 200",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052651",
            "telephone_number": "866-420-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYS",
        "first_name": "JORDAN",
        "credential": "PSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan.gys@eleanorhealth.com",
            "affiliation": "Y",
            "affiliationName": "Eleanor Health Professional MA, PLLC",
            "address_1": "108 Grove St Ste 200",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 11, 2021; 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.