Individual provider Active NPI

Ted Conrad Wetterau III

  • Mental Health Counselor
  • Weston, MA
National Provider Identifier
1770189441
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10003426 Issued in MA
Practice address
29 Pembroke Rd
Weston, MA 02493-2246
Phone
(508) 813-9400
NPI assigned
Dec 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 LMHC10003426 MA Primary

Addresses

Primary practice location

29 Pembroke Rd
Weston, MA 02493-2246

Mailing address

29 Pembroke Rd
Weston, MA 02493-2246
Phone (508) 813-9400

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
I20250220002029 MA Practitioner - Mental Health Counselor 2860912847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc CurrentSince Feb 17, 2025 Accepting new patients
Advocates, Inc. Current Accepting new patients
Empathos Therapy, PLLC Mental Health CurrentSince Aug 10, 2025 Accepting new patients

Locations

1881 Worcester Rd
Framingham, MA 01701

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

340 Maple St
Fl 4
Marlborough, MA 01752
Phone (508) 341-3104

340 Maple St
Ste 400
Marlborough, MA 01752
Phone (508) 485-9300

Organizations & group practices 3

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1770189441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PEMBROKE RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024932246",
            "telephone_number": "508-813-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PEMBROKE RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024932246",
            "telephone_number": "508-813-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTERAU",
        "first_name": "TED",
        "middle_name": "CONRAD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10003426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, MA

Sources for this page

Verify at the official NPI Registry.