Individual provider Active NPI

Ryan Mason Hatlelid

  • Counselor
  • Boston, MA
National Provider Identifier
1821525155
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
175 Federal St Ste 1400
Boston, MA 02110-2237
Phone
(617) 336-3246
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

175 Federal St Ste 1400
Boston, MA 02110-2237

Mailing address

175 Federal St Ste 1400
Boston, MA 02110-2237
Phone (617) 336-3246

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Hatlelid Counseling, LLC Current Accepting new patients
Collaborative Insight Counseling Associates, LLC Counselor CurrentSince Aug 27, 2023 Accepting new patients

Locations

175 Federal St
Ste 1400
Boston, MA 02110
Phone (617) 336-3246

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1821525155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FEDERAL ST STE 1400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102237",
            "telephone_number": "617-336-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FEDERAL ST STE 1400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102237",
            "telephone_number": "617-336-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATLELID",
        "first_name": "RYAN",
        "middle_name": "MASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 14, 2023; 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.