MR. GLENROY BRISTOL M.ED.
NPI 1841442993
Counselor - Mental Health in Indian Orchard, MA
About Mr. Glenroy Bristol M.ed. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GLENROY BRISTOL M.ED. (NPI 1841442993) is an individual mental health provider in Indian Orchard, Massachusetts, licensed in Massachusetts (9228) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Glenroy Bristol M.ed. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Glenroy Bristol reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MA 01108
- Reassigned Medicare billing, Massachusetts enrollment
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 Glenroy Bristol's NPI number?
The NPI number for Glenroy Bristol is 1841442993. It was assigned to this individual provider in the NPPES registry on October 21, 2008.
Where is Glenroy Bristol located?
Glenroy Bristol practices at 34 Goodwin Street, Indian Orchard, MA 01151. The listed phone number is (413) 250-4816.
What is Glenroy Bristol's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Glenroy Bristol enrolled in Medicare?
Yes. Glenroy Bristol is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Glenroy Bristol's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenroy Bristol reassigns Medicare benefits to Horizon Integrative Psychotherapy, LLC (Springfield, 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 Glenroy Bristol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glenroy Bristol accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Glenroy Bristol 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 Glenroy Bristol was last updated on July 21, 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.
# Mr. Glenroy Bristol, M.ED. · NPI 1841442993
Mental Health provider in Indian Orchard, Massachusetts. Individual provider, active in the CMS NPPES registry since October 21, 2008.
## Identity
- **NPI:** 1841442993 (Entity type: Individual)
- **Enumerated:** October 21, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 9228 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 34 GOODWIN STREET, Indian Orchard, MA 01151
- **Phone:** (413) 250-4816
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Horizon Integrative Psychotherapy, LLC (NPI 1467127944, Springfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1841442993) · Data from the CMS NPPES public registry.