Individual provider Active NPI

Michael Witt

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1255508214
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4990 Issued in MA
Practice address
48 Cedar St
Worcester, MA 01609-2134
Phone
(508) 652-5414
Fax
(508) 433-1871
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 4990 MA Primary

Addresses

Primary practice location

48 Cedar St
Worcester, MA 01609-2134

Mailing address

687 Highland Ave
Needham, MA 02494-2232
Phone (800) 455-8726

Other practice location 1

450 W River St
Orange, MA 01364-1435
Phone (800) 455-8726 ext. 27

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
I20250324000591 MA Practitioner - Mental Health Counselor 8820510506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Grove St
Suite 202
Worcester, MA 01605-2647
Phone (508) 652-5414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4990MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainspring Counseling Center LLC Mental Health CurrentSince Feb 15, 2025 Accepting new patients
Counseling and Psychotherapy Center of Greater Boston, Inc. Past Accepting new patients

Locations

100 Grove St
Ste 202
Worcester, MA 01605
Phone (508) 652-5414

48 Cedar St
Worcester, MA 01609
Phone (508) 753-4901

Organizations & group practices 2

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1255508214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942232",
            "telephone_number": "800-455-8726",
            "fax_number": "866-455-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CEDAR ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092134",
            "telephone_number": "508-652-5414",
            "fax_number": "508-433-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 W River St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "MA",
            "postal_code": "013641435",
            "country_code": "US",
            "telephone_number": "800-455-8726 x27",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITT",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.