Gwen E. Carelli, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4731 Issued in MA

Practice address

202 Russell St
Worcester, MA 01609-2265

Phone

(508) 753-5554

Fax

(508) 752-7245

NPI assigned

Sep 6, 2006

Last updated

Jan 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Healthcare ServicesGroup PAC ID 3779818828, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Healthcare Services

  • Psychiatry Physician
  • Worcester, MA
  • NPI 1346397437
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1396848404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 NEW ESTATE RD",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601100",
            "telephone_number": "978-501-6450",
            "fax_number": "508-752-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 RUSSELL ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092265",
            "telephone_number": "508-753-5554",
            "fax_number": "508-752-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARELLI",
        "first_name": "GWEN",
        "middle_name": "E.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette S Cardozo, MA
• Care Alternatives of Massachusetts, LLC (Ascend Hospice)
• Care Autism, LLC
• Caredbyyanira
• Careforte Health Solutions LLC
• Carepath Medical Group PC
• Careplus Staffing & Homecare Inc
• Caretrust Plus Home Care, LLC
• Carewell Urgent Care Centers of Ma, PC (Carewell Urgent Care)
• Carewell Urgent Care Centers of Ma, PC (Carewell Urgent Care)

• Mental Health Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.