Individual provider Active NPI

Brian P Yacino, LADC-II

  • Addiction (Substance Use Disorder) Counselor
  • Gardner, MA
National Provider Identifier
1922991355
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
19381 Issued in MA
Practice address
827 Green St
Gardner, MA 01440-1105
Phone
(978) 830-3276
NPI assigned
Jun 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19381 MA Primary

Addresses

Primary practice location

827 Green St
Gardner, MA 01440-1105

Mailing address

208 Coleman St
Gardner, MA 01440-3767
Phone (978) 632-0934

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

State licenses

LicenseStateTypeSpecialty
19381MAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaamha, Inc Addiction (Substance Use Disorder) CurrentSince Jun 8, 2025 Accepting new patients
Gaamha, Inc PastSince Jun 8, 2025 Accepting new patients

Locations

208 Coleman St
Gardner, MA 01440
Phone (978) 632-0934

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": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1922991355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLEMAN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403767",
            "telephone_number": "978-632-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401105",
            "telephone_number": "978-830-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACINO",
        "first_name": "BRIAN",
        "middle_name": "P",
        "credential": "LADC-II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "19381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.