MEDICARE: 1722 BEHAVIOR & COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1346978491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1722 BEHAVIOR & COUNSELING

Provider Business Mailing Address
First Line	:	7 HAZELWOOD RD
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-1550
Country	:	US
Telephone Number	:	774-570-0431
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 HAZELWOOD RD
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-1550
Country	:	US
Telephone Number	:	774-570-0431
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICE
Name	:	DARYLE JOEL ROBERTS
Credential	:	RBT
Telephone Number	:	774-570-0431

Provider Enumeration Date	:	08/08/2022
Last Update Date	:	09/11/2025

Similar Medicare Providers

1760171839 — KATE GREEN LMHC
Practice Location Address:

7 HAZELWOOD RD
WORCESTER, MA
01609-1550

Practice Phone: 774-314-1152
Practice Fax:

1407694193 — ALYSSA CLAIRE REYNOLDS M.S. ED., BCBA, LABA
Practice Location Address:

7 HAZELWOOD RD
WORCESTER, MA
01609-1550

Practice Phone: 774-314-1152
Practice Fax:

1235126335 — CENTRAL MASS HEALTH SYSTEMS
Practice Location Address:

1350 MAIN ST
WORCESTER, MA
01603-1550

Practice Phone: 508-791-4200
Practice Fax: 508-791-0269

1447430392 — PARSONS HILL NURSING AND REHAB CENTER INC
Practice Location Address:

1350 MAIN ST
WORCESTER, MA
01603-1550

Practice Phone: 508-791-4200
Practice Fax:

1851702732 — PARSONS HILL MA SNF LLC
Practice Location Address:

1350 MAIN ST
WORCESTER, MA
01603-1550

Practice Phone: 508-791-4200
Practice Fax: 508-791-0269

1508715061 — WORCESTER PARSON SNF OPERATIONS, LLC
Practice Location Address:

1350 MAIN ST
WORCESTER, MA
01603-1550

Practice Phone: 508-791-4200
Practice Fax:

Directions to “1722 BEHAVIOR & COUNSELING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.