Individual provider Active NPI

Audrey Margaret Zutrau, BA

  • Counselor
  • Jamaica Plain, MA
National Provider Identifier
1285250811
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3313 Washington St Ste 3
Jamaica Plain, MA 02130-2691
Phone
(508) 209-3471
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

3313 Washington St Ste 3
Jamaica Plain, MA 02130-2691

Mailing address

193 Aspinwall Ave Apt 2
Brookline, MA 02446-6959
Phone (617) 304-3532

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1285250811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 ASPINWALL AVE APT 2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466959",
            "telephone_number": "617-304-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 WASHINGTON ST STE 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302691",
            "telephone_number": "508-209-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUTRAU",
        "first_name": "AUDREY",
        "middle_name": "MARGARET",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.