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IAN ZETTERVALL LPC, LADC
NPI 1649791310
Counselor in Bristol, CT

Active since July 03, 2017PECOS EnrolledAccepts Medicare Assignment
61 BRADLEY ST, BRISTOL, CT 06010(860) 863-1937 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2019, Jul 3, 2017 (2 updates tracked since 2017).

About Ian Zettervall Lpc, Ladc NPPES

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

IAN ZETTERVALL LPC, LADC (NPI 1649791310) is an individual counselor in Bristol, Connecticut, licensed in Connecticut (46.003558) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649791310
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameIAN ZETTERVALLCredential: LPC, LADC
Location Address61 BRADLEY STBristol, CT 06010-5103
Mailing Address135 Brewster RdBristol, CT 06010-5212 · (860) 630-0820
Phone(860) 863-1937
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 3, 2017
Last NPPES UpdateApril 1, 20222 updates tracked since enumeration
NPPES CertifiedApril 1, 2022
✔ NPI 1649791310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CT · 46.003558
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 001211 (CT)
61 BRADLEY ST, Bristol, CT 06010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ian Zettervall Lpc, Ladc 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 ID9638521511
PECOS Enrollment IDI20240116003004
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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOUIS HURWITZ
Counselor (Professional)
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 406-2437
MARISA ESTHER LEE KIM M.D.
Internal Medicine
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 584-8021
LOU HURWITZ COUNSELING, LLC
Counselor (Professional)
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 406-2437
MARY ANN KOPREK
Nurse Practitioner (Family)
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 584-8021
NICOLE MICHAUD
Counselor (Professional)
61 BRADLEY ST, SUITE 1
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 516-1126
CORINNE B FEROLA LCSW
Social Worker (Clinical)
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 841-6238
GARY MILLER MD LLC
Internal Medicine
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 314-6898
JEANINE SULLIVAN LCSW
Counselor (Addiction (Substance Use Disorder))
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 677-5967

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 Ian Zettervall's NPI number?

The NPI number for Ian Zettervall is 1649791310. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Ian Zettervall located?

Ian Zettervall practices at 61 Bradley St, Bristol, CT 06010. The listed phone number is (860) 863-1937.

What is Ian Zettervall's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Ian Zettervall enrolled in Medicare?

Yes. Ian Zettervall 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.

What insurance does Ian Zettervall accept?

Health plans from Providence Health Plan list Ian Zettervall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ian Zettervall was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.