Brian Martin Gwozdz, LADC 1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1535 Issued in MA

Practice address

13 Lakeshore Rd
Peabody, MA 01960-6514

Phone

(413) 519-4237

Fax

(855) 260-8265

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Recovery Journey Services Inc

  • Counselor
  • Peabody, MA
  • NPI 1053925214
  NPD
• RJ Recovery LLC

  • Counselor
  • Peabody, MA
  • NPI 1154058436
  NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1417553454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LAKESHORE RD",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019606514",
            "telephone_number": "413-519-4237",
            "fax_number": "855-260-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 LAKESHORE RD",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019606514",
            "telephone_number": "413-519-4237",
            "fax_number": "855-260-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWOZDZ",
        "first_name": "BRIAN",
        "middle_name": "MARTIN",
        "credential": "LADC 1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Guillen
• Angel Guillermo German, RBT
• Paige Katherine Gunning
• Jonathan Gutierrez-Fonseca
• Ashley Gutierrez, M.ED, BCBA, LABA
• Linus Sungsik Hahn, M.D.
• Elizabeth Hajjar, MSW
• Eileen C Haley, M.D.
• Jennifer Haley, LICSW
• Douglas Oliver Halsted, MD

• Addiction (Substance Use Disorder) Counselor in Peabody, MA
• Providers in Peabody, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.