Individual provider Active NPI

Ray Gjelsvik

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1306714274
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5566 Issued in NH
Practice address
221 Main St Ste N
Nashua, NH 03060-2913
Phone
(603) 377-3907
NPI assigned
Oct 23, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 5566 NH Primary

Addresses

Primary practice location

221 Main St Ste N
Nashua, NH 03060-2913

Mailing address

221 Main St Ste N
Nashua, NH 03060-2913
Phone (603) 377-3907

Other practice location 1

400 Amherst St Ste 200
Nashua, NH 03063-4223
Phone (603) 889-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20251215001719 NH Practitioner - Mental Health Counselor 2769976992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wanderlust Therapeutic Services PLLCGroup PAC ID 7012322753, 13 clinicians

Practice addresses (Care Compare)

400 Amherst St
Suite 200
Nashua, NH 03063-4223
Phone (603) 889-3553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5566NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wanderlust Therapeutic Services, PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

889 Elm St
Manchester, NH 03101
Phone (603) 889-3553

400 Amherst St
Ste 200
Nashua, NH 03063
Phone (603) 205-3623

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": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1306714274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAIN ST STE N",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602913",
            "telephone_number": "603-377-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAIN ST STE N",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602913",
            "telephone_number": "603-377-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Amherst St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030634223",
            "country_code": "US",
            "telephone_number": "603-889-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GJELSVIK",
        "first_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "5566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.