Individual provider Active NPI

Gregory Charles Zeltt

  • Mental Health Counselor
  • Braintree, MA
National Provider Identifier
1225653116
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
400 Washington St
Braintree, MA 02184-4729
Phone
(617) 639-4671
Fax
(781) 817-6745
NPI assigned
Jun 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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 Primary

Addresses

Primary practice location

400 Washington St
Braintree, MA 02184-4729

Mailing address

400 Washington St Ste 106
Braintree, MA 02184-4764
Phone (617) 639-4671

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
I20240206001013 MA Practitioner - Mental Health Counselor 9133562226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Suffolk Community Services IncGroup PAC ID 9234037516, 42 clinicians

Practice addresses (Care Compare)

14 Porter St
East Boston, MA 02128-2116
Phone (617) 569-3189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Suffolk Community Services Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

301 Broadway
Chelsea, MA 02150
Phone (617) 889-4860

14 Porter St
East Boston, MA 02128
Phone (617) 569-3189

265 Beach St
Revere, MA 02151
Phone (781) 289-9331

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1225653116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST STE 106",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844764",
            "telephone_number": "617-639-4671",
            "fax_number": "781-817-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844729",
            "telephone_number": "617-639-4671",
            "fax_number": "781-817-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELTT",
        "first_name": "GREGORY",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.