Active NPI
Ronald A Seletsky, LSW, LMHC
- Mental Health Counselor
- Chestnut Hill, MA
National Provider Identifier
1568744159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4374
- Practice address
- 27 Westgate Rd
Suite 4
Chestnut Hill, MA 02467-3405 - Phone
- (617) 233-3757
- NPI assigned
- Sep 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4374 | MA | Primary |
| Social Worker | 104100000X | 313686 | MA |
Addresses
Primary practice location
27 Westgate Rd
Suite 4
Chestnut Hill, MA 02467-3405
Mailing address
27 Westgate Rd
Suite 4
Chestnut Hill, MA 02467-3405
Phone (617) 233-3757
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
| License | State | Type | Specialty |
|---|---|---|---|
| 313686 | MA | MD | Social Worker |
| 4374 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1568744159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 WESTGATE RD",
"address_2": "SUITE 4",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673405",
"telephone_number": "617-233-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 WESTGATE RD",
"address_2": "SUITE 4",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673405",
"telephone_number": "617-233-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELETSKY",
"first_name": "RONALD",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LSW, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-09",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4374",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "313686",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.