Individual provider Active NPI

Timothy WK Otoo

  • Counselor
  • Fitchburg, MA
National Provider Identifier
1508594144
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
155 Airport Rd
Fitchburg, MA 01420-8142
Phone
(978) 906-0270
Fax
(857) 615-7159
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

155 Airport Rd
Fitchburg, MA 01420-8142

Mailing address

155 Airport Rd
Fitchburg, MA 01420-8142
Phone (978) 906-0270

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1508594144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 AIRPORT RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208142",
            "telephone_number": "978-906-0270",
            "fax_number": "857-615-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 AIRPORT RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208142",
            "telephone_number": "978-906-0270",
            "fax_number": "857-615-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOO",
        "first_name": "TIMOTHY",
        "middle_name": "WK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.