Organization Active NPI

Confidential Professional Counseling, PC

  • Addiction (Substance Use Disorder) Counselor
  • Worcester, MA
National Provider Identifier
1447594759
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
554 Issued in MA
Legal business name
CONFIDENTIAL PROFESSIONAL COUNSELING, PC
Practice address
340 Highland St
Worcester, MA 01602-2131
Phone
(508) 752-5880
Fax
(508) 831-9967
NPI assigned
Nov 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. Zamir Nestelbaum, MD
Title
President
Phone
(508) 752-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 554 MA Primary

Addresses

Primary practice location

340 Highland St
Worcester, MA 01602-2131

Mailing address

340 Highland St
Worcester, MA 01602-2131
Phone (508) 752-5880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1447594759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HIGHLAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022131",
            "telephone_number": "508-752-5880",
            "fax_number": "508-831-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HIGHLAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022131",
            "telephone_number": "508-752-5880",
            "fax_number": "508-831-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENTIAL PROFESSIONAL COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "NESTELBAUM",
        "authorized_official_first_name": "ZAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-752-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.