Individual provider Active NPI

Brett M Balter, PSYD

  • Mental Health Counselor
  • Beverly, MA
National Provider Identifier
1689132672
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107
Phone
(978) 922-2280
NPI assigned
Mar 8, 2019
Last updated
Oct 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107

Mailing address

100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250306002271 MA Practitioner - Clinical Psychologist 7517488513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Counseling Center IncGroup PAC ID 8628138153, 12 clinicians

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 307E
Beverly, MA 01915-6107
Phone (978) 922-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Counseling Center Inc Mental Health CurrentSince Jan 2, 2025 Accepting new patients
North Shore Counseling Center Inc Mental Health CurrentSince Sep 21, 2025 Accepting new patients

Locations

100 Cummings Ctr
Ste 307E
Beverly, MA 01915
Phone (978) 922-2280

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1689132672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 307E",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 307E",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156107",
            "telephone_number": "978-922-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTER",
        "first_name": "BRETT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-08",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.