Gary J. Breault
NPI 1104071315ActiveIndividual· Counselor, Professional· Worcester, MA
Counselor, Professional with Counseling and Assessment Clinic of Worcester LLC, practicing in Worcester, Massachusetts. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1104071315 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 2, 2008 |
| Last updated in NPPES | Dec 2, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6675 | MA |
| Counselor, School | 101YS0200X | 321767 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MA) |
|---|
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Counseling and Assessment Clinic of Worcester LLCWorcester, MA · 9 clinicians
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