Active NPI
Tracy Ann Gresser
- Mental Health Counselor
- Arlington, MA
National Provider Identifier
1326744756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 517
- Practice address
- 6 Revere St
Arlington, MA 02476-6129 - Phone
- (781) 249-5425
- NPI assigned
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 517 | MA | Primary |
Addresses
Primary practice location
6 Revere St
Arlington, MA 02476-6129
Mailing address
6 Revere St
Arlington, MA 02476-6129
Phone (781) 249-5425
Other practice location 1
6 Revere St
Arlington, MA 02476-6129
Phone (781) 249-5425
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1326744756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 REVERE ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024766129",
"telephone_number": "781-249-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 REVERE ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024766129",
"telephone_number": "781-249-5425"
}
],
"practiceLocations": [
{
"address_1": "6 Revere St",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "MA",
"postal_code": "024766129",
"country_code": "US",
"telephone_number": "781-249-5425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRESSER",
"first_name": "TRACY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.