Active NPI
Theresa A Brady, BS
- Counselor
- Worcester, MA
National Provider Identifier
1861287088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1234
- Practice address
- 90 Madison St Ste 603
Worcester, MA 01608-2030 - Phone
- (774) 530-6363
- Fax
- (774) 530-6364
- NPI assigned
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1234 | MA | Primary |
Addresses
Primary practice location
90 Madison St Ste 603
Worcester, MA 01608-2030
Mailing address
38 Sibley Rd
Winchendon, MA 01475-1057
Phone (617) 905-7371
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1234 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1861287088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 SIBLEY RD",
"city": "WINCHENDON",
"state": "MA",
"postal_code": "014751057",
"telephone_number": "617-905-7371",
"fax_number": "774-530-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MADISON ST STE 603",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016082030",
"telephone_number": "774-530-6363",
"fax_number": "774-530-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "THERESA",
"middle_name": "A",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "1234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.