Individual provider Active NPI

Godjust Etter, CPRS

  • Peer Specialist
  • Boston, MA
National Provider Identifier
1528858149
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.005437 Issued in OH
Practice address
55 Court St Ste 220B
Boston, MA 02108-2104
Phone
(888) 963-1828
NPI assigned
May 7, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X APS.005437 OH Primary

Addresses

Primary practice location

55 Court St Ste 220B
Boston, MA 02108-2104

Mailing address

55 Court St Ste 220B
Boston, MA 02108-2104
Phone (888) 963-1828

Other practice location 1

8044 Montgomery Rd Ste 120
Cincinnati, OH 45236-2919
Phone (513) 607-5128

Other names 1

  • Sevvrin Ohtako Professional name

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

State licenses

LicenseStateTypeSpecialty
APS.005437OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Tech Inc Peer Specialist CurrentSince Aug 3, 2025 Accepting new patients
Radley Health Inc CurrentSince May 1, 2025 Accepting new patients

Locations

55 Court St
Ste 220B
Boston, MA 02108
Phone (857) 957-6820

8044 Montgomery Rd
Ste 120
Cincinnati, OH 45236
Phone (513) 600-0694

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1528858149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COURT ST STE 220B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082104",
            "telephone_number": "888-963-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COURT ST STE 220B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082104",
            "telephone_number": "888-963-1828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8044 Montgomery Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362919",
            "country_code": "US",
            "telephone_number": "513-607-5128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTER",
        "first_name": "GODJUST",
        "credential": "CPRS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEVVRIN",
            "last_name": "OHTAKO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.