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MR. GARY J BREAULT
NPI 1104071315
Counselor - Professional in Worcester, MA

Active since December 02, 2008PECOS EnrolledAccepts Medicare Assignment
25 CATHARINE ST, WORCESTER, MA 01605(508) 754-3006(508) 754-2971 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Gary J Breault NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARY J BREAULT (NPI 1104071315) is an individual professional provider in Worcester, Massachusetts, licensed in Massachusetts (6675) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1104071315
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. GARY J BREAULT
Location Address25 CATHARINE STWorcester, MA 01605-2709
Mailing Address25 Catharine StWorcester, MA 01605-2709 · (508) 754-3006 · Fax (508) 754-2971
Phone(508) 754-3006
Fax(508) 754-2971
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 2, 2008
✔ NPI 1104071315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MA · 6675
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 321767 (MA)
25 CATHARINE ST, Worcester, MA 01605
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gary J Breault is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971008475
PECOS Enrollment IDI20250925002247
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gary Breault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling & Assessment Clinic Of Worcester LLC
1.6 mi
Community/Behavioral Health
255 PARK AVE STE 412
Worcester, MA 01609
  • Reassigned Medicare billing, Massachusetts enrollment
  • 10 clinicians in this Medicare group
NPI 1487863494 (508) 756-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Breault's NPI number?

The NPI number for Gary Breault is 1104071315. It was assigned to this individual provider in the NPPES registry on December 2, 2008.

Where is Gary Breault located?

Gary Breault practices at 25 Catharine St, Worcester, MA 01605. The listed phone number is (508) 754-3006.

What is Gary Breault's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gary Breault enrolled in Medicare?

Yes. Gary Breault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gary Breault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Breault reassigns Medicare benefits to Counseling & Assessment Clinic Of Worcester LLC (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Breault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gary Breault was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.