Active NPI
Zijian Qiu
- Mental Health Counselor
- Medford, MA
National Provider Identifier
1336037829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 200 Boston Ave Ste 1925
Medford, MA 02155-4243 - Phone
- (812) 606-1444
- NPI assigned
- Jun 25, 2025
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
200 Boston Ave Ste 1925
Medford, MA 02155-4243
Mailing address
55 Wheeler St Unit Aptb634
Cambridge, MA 02138-1192
Phone (812) 606-1444
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1336037829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WHEELER ST UNIT APTB634",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381192",
"telephone_number": "812-606-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOSTON AVE STE 1925",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554243",
"telephone_number": "812-606-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIU",
"first_name": "ZIJIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.