Cherie Renee Brisebois-Tetrault, RE LE CLT LLT

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

1702 Issued in MA

Practice address

460 Granby Rd
South Hadley, MA 01075-2145

Phone

(413) 733-2499

Fax

(413) 255-0443

NPI assigned

Mar 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1437618832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 GRANBY RD",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752145",
            "telephone_number": "413-733-2499",
            "fax_number": "413-255-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 GRANBY RD",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752145",
            "telephone_number": "413-733-2499",
            "fax_number": "413-255-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Granby Rd",
            "address_purpose": "LOCATION",
            "city": "South Hadley",
            "state": "MA",
            "postal_code": "010752145",
            "country_code": "US",
            "telephone_number": "413-733-2499",
            "fax_number": "413-255-0443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISEBOIS-TETRAULT",
        "first_name": "CHERIE",
        "middle_name": "RENEE",
        "credential": "RE LE CLT LLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "MA",
            "license": "1702",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "MA",
            "license": "L-30",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "CT",
            "license": "547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTROLOGIST LICENSE NUMBER",
            "identifier": "1702",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTROLOGIST LICENSE NUMBER",
            "identifier": "547",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LASER ELECTROLYSIS LICENSE",
            "identifier": "L-30",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ashley Brandenburg
• Emily Breines
• Jamie L Brelsford, MSW, LICSW
• David S. Brown, PSYD
• Jennifer Brown
• Susan Crapenter Bruffee, M ED
• Katelynn Brzezinski
• Burgess Health Associates LLC

• Other Specialist/Technologist in South Hadley, MA
• Providers in South Hadley, MA by specialty
• Other Specialist/Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.