NPIMap

Organization Active NPI

Counseling Center at Millbury LLC

Doing business as The Counseling Center at Millbury LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Millbury, MA
National Provider Identifier
1922646272
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COUNSELING CENTER AT MILLBURY LLC
Doing business as
The Counseling Center at Millbury LLC
Practice address
29 Main St Ste 300
Millbury, MA 01527-2005
Phone
(508) 785-4490
Fax
(508) 785-4985
NPI assigned
Dec 18, 2019
Last updated
Dec 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Joseph M Chelales
Title
Administrator
Phone
(508) 785-4490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

29 Main St Ste 300
Millbury, MA 01527-2005

Mailing address

PO Box 27028
Newark, NJ 07101-6728

Other names 1

  • THE COUNSELING CENTER AT MILLBURY LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221201002116 MA Part B Supplier - Clinic/Group Practice 4284002825 Receives reassigned benefits from 8 practitioners
Practice locations: Millbury, MA

National Provider Directory

National Provider Directory

Locations

29 Main St
Ste 100
Millbury, MA 01527
Phone (508) 433-3866

29 Main St
Ste 300
Millbury, MA 01527
Phone (508) 475-5676

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1922646272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27028",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071016728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MAIN ST STE 300",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015272005",
            "telephone_number": "508-785-4490",
            "fax_number": "508-785-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER AT MILLBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "CHELALES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-785-4490"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE COUNSELING CENTER AT MILLBURY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.