Abigail Breese-Young
Individual provider Active NPI Mental Health Counselor · Acton, MA
NPI 1861922072 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1861922072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 360 Massachusetts Ave Ste 201
Acton, MA 01720-3750 - Phone
- (978) 263-3427
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Breese Community Services LLC
Practice addresses (Care Compare)
Townsend, MA 01469
Phone (617) 633-2331
66 Boston Rd
Groton, MA 01450-1862
Phone (978) 660-4064
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207003290 | MA | Practitioner - Clinical Social Worker | 7810330792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
360 Massachusetts Ave Ste 201
Acton, MA 01720-3750
Mailing address
360 Massachusetts Ave Ste 201
Acton, MA 01720-3750
Phone (978) 263-3427
Other providers in Acton, MA
- Josephine Anne Bottone
- Dorene Bowe-Shulman
- Steven Bowen
- Andrew Braga
- Patrick Braley
- Jennifer F Breneisen
- Christine Hardy Brown
- Cynthia C Brown
- Samuel Brown
- Cromwell Browne
All providers in Acton, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.